Provider Demographics
NPI:1497751176
Name:CITY OF SPRING VALLEY
Entity type:Organization
Organization Name:CITY OF SPRING VALLEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-346-7367
Mailing Address - Street 1:201 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55975-1301
Mailing Address - Country:US
Mailing Address - Phone:507-346-7414
Mailing Address - Fax:507-346-7620
Practice Address - Street 1:100 EMERGECNY DRIVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55975
Practice Address - Country:US
Practice Address - Phone:507-346-7414
Practice Address - Fax:507-346-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-27
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
MN238341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN456367100Medicaid
MN590000009Medicare ID - Type Unspecified