Provider Demographics
NPI:1699055863
Name:GARDEN VALLEY TELEPHONE COMPANY
Entity type:Organization
Organization Name:GARDEN VALLEY TELEPHONE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:FORGIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-687-2400
Mailing Address - Street 1:201 ROSS AVENUE
Mailing Address - Street 2:PO BOX 259
Mailing Address - City:ERSKINE
Mailing Address - State:MN
Mailing Address - Zip Code:56535-0259
Mailing Address - Country:US
Mailing Address - Phone:218-687-5251
Mailing Address - Fax:218-684-9960
Practice Address - Street 1:201 ROSS AVENUE
Practice Address - Street 2:
Practice Address - City:ERSKINE
Practice Address - State:MN
Practice Address - Zip Code:56535-0259
Practice Address - Country:US
Practice Address - Phone:218-687-5251
Practice Address - Fax:218-684-9960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies