Provider Demographics
NPI:1730183369
Name:CITY OF NORFOLK
Entity type:Organization
Organization Name:CITY OF NORFOLK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-844-2012
Mailing Address - Street 1:309 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4092
Mailing Address - Country:US
Mailing Address - Phone:402-844-2000
Mailing Address - Fax:402-844-2028
Practice Address - Street 1:701 KOENIGSTEIN AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-3917
Practice Address - Country:US
Practice Address - Phone:402-844-2050
Practice Address - Fax:402-644-8748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5039341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09397OtherBLUE CROSS BLUE SHIELD
NE09397OtherBLUE CROSS BLUE SHIELD
NE09397OtherBLUE CROSS BLUE SHIELD
NE590121461Medicare ID - Type UnspecifiedRAILROAD MEDICARE