Provider Demographics
NPI:1215327515
Name:CITY OF HARTFORD
Entity type:Organization
Organization Name:CITY OF HARTFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ICAP DEP. DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEERHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-256-6518
Mailing Address - Street 1:125 N MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:SD
Mailing Address - Zip Code:57033-2166
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:125 N MAIN AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:SD
Practice Address - Zip Code:57033-2166
Practice Address - Country:US
Practice Address - Phone:605-528-6187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus