Provider Demographics
NPI:1295773810
Name:CITY OF ELGIN
Entity type:Organization
Organization Name:CITY OF ELGIN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:S
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-843-5822
Mailing Address - Street 1:PO BOX 240
Mailing Address - Street 2:104 PINE STREET
Mailing Address - City:ELGIN
Mailing Address - State:NE
Mailing Address - Zip Code:68636-0240
Mailing Address - Country:US
Mailing Address - Phone:402-843-5822
Mailing Address - Fax:402-843-5585
Practice Address - Street 1:207 PINE ST
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:NE
Practice Address - Zip Code:68636-4413
Practice Address - Country:US
Practice Address - Phone:402-843-5822
Practice Address - Fax:402-843-5585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1105341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
09306OtherBLUE CROSS/BLUE SHIELD
NE=========00Medicaid
NE=========00Medicaid