Provider Demographics
NPI:1972548170
Name:CITY OF CAMBRIDGE
Entity type:Organization
Organization Name:CITY OF CAMBRIDGE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KANDRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KINNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-697-3711
Mailing Address - Street 1:PO BOX Q
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NE
Mailing Address - Zip Code:69022-0532
Mailing Address - Country:US
Mailing Address - Phone:308-697-3711
Mailing Address - Fax:308-697-3253
Practice Address - Street 1:722 PATTERSON STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NE
Practice Address - Zip Code:69022-0532
Practice Address - Country:US
Practice Address - Phone:308-697-3711
Practice Address - Fax:308-697-3253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1049341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-00Medicaid
NE=========-00Medicaid