Provider Demographics
NPI:1437530011
Name:MIDWEST SAFETY CONSULTING INC.
Entity type:Organization
Organization Name:MIDWEST SAFETY CONSULTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/HUMAN RESOURCES
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:JO
Authorized Official - Last Name:GRUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-398-5870
Mailing Address - Street 1:31331 HENSELIN ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55744
Mailing Address - Country:US
Mailing Address - Phone:218-247-8064
Mailing Address - Fax:218-247-8007
Practice Address - Street 1:568 5TH AVE
Practice Address - Street 2:
Practice Address - City:CALUMET
Practice Address - State:MN
Practice Address - Zip Code:55716
Practice Address - Country:US
Practice Address - Phone:218-247-8064
Practice Address - Fax:218-247-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN380840343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNM357417700Medicare UPIN