Provider Demographics
NPI:1144075797
Name:CITY OF WATERLOO
Entity type:Organization
Organization Name:CITY OF WATERLOO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:920-478-3025
Mailing Address - Street 1:136 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:WI
Mailing Address - Zip Code:53594-1125
Mailing Address - Country:US
Mailing Address - Phone:920-478-3025
Mailing Address - Fax:
Practice Address - Street 1:900 INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:WI
Practice Address - Zip Code:53594-1285
Practice Address - Country:US
Practice Address - Phone:920-478-2535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport