Provider Demographics
NPI:1023139722
Name:CITY OF NAPPANEE
Entity type:Organization
Organization Name:CITY OF NAPPANEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLERK TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:INGLE
Authorized Official - Suffix:
Authorized Official - Credentials:IAMC CMC
Authorized Official - Phone:574-773-2112
Mailing Address - Street 1:PO BOX 29
Mailing Address - Street 2:300 W LINCOLN
Mailing Address - City:NAPPANEE
Mailing Address - State:IN
Mailing Address - Zip Code:46550-0029
Mailing Address - Country:US
Mailing Address - Phone:574-773-2112
Mailing Address - Fax:574-773-5878
Practice Address - Street 1:300 W LINCOLN
Practice Address - Street 2:
Practice Address - City:NAPPANEE
Practice Address - State:IN
Practice Address - Zip Code:46550-0029
Practice Address - Country:US
Practice Address - Phone:574-773-2112
Practice Address - Fax:574-773-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0107341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN121516OtherINDIANA STATE DEPT OF HEA
IN121516OtherINDIANA STATE DEPT OF HEA