Provider Demographics
NPI:1427122019
Name:CITY OF SILVER LAKE
Entity type:Organization
Organization Name:CITY OF SILVER LAKE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLERK ANDTREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:VENIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-327-2412
Mailing Address - Street 1:308 MAIN STREET W
Mailing Address - Street 2:PO BOX 347
Mailing Address - City:SILVER LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55381-0347
Mailing Address - Country:US
Mailing Address - Phone:320-327-2412
Mailing Address - Fax:320-327-2299
Practice Address - Street 1:308 MAIN STREET W
Practice Address - Street 2:
Practice Address - City:SILVER LAKE
Practice Address - State:MN
Practice Address - Zip Code:55381-0347
Practice Address - Country:US
Practice Address - Phone:320-327-2412
Practice Address - Fax:320-327-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN0231341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance