Provider Demographics
NPI:1386942639
Name:CITY OF LAFAYETTE
Entity type:Organization
Organization Name:CITY OF LAFAYETTE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNCILMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DARREN
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:SAFFERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-228-8754
Mailing Address - Street 1:700 9TH ST.
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:MN
Mailing Address - Zip Code:56054
Mailing Address - Country:US
Mailing Address - Phone:507-228-8241
Mailing Address - Fax:
Practice Address - Street 1:800 MAIN AVE.
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:MN
Practice Address - Zip Code:56054
Practice Address - Country:US
Practice Address - Phone:507-228-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF LAFAYETTE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport