Provider Demographics
NPI:1245300151
Name:CITY OF HUBBARD
Entity type:Organization
Organization Name:CITY OF HUBBARD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PICKERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-864-3187
Mailing Address - Street 1:PO BOX 265
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:IA
Mailing Address - Zip Code:50122-0265
Mailing Address - Country:US
Mailing Address - Phone:641-864-3187
Mailing Address - Fax:641-864-3379
Practice Address - Street 1:323 E MAPLE
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:IA
Practice Address - Zip Code:50122
Practice Address - Country:US
Practice Address - Phone:641-864-3187
Practice Address - Fax:641-864-3379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24207003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0016592Medicaid
IA01659Medicare ID - Type Unspecified