Provider Demographics
NPI:1659312890
Name:CITY OF HOYT LAKES
Entity type:Organization
Organization Name:CITY OF HOYT LAKES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY ADMINISTRATOR/CLERK-TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-225-2344
Mailing Address - Street 1:206 KENNEDY MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOYT LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55750-1150
Mailing Address - Country:US
Mailing Address - Phone:218-225-2344
Mailing Address - Fax:218-225-2485
Practice Address - Street 1:801 DORCHESTER DR
Practice Address - Street 2:
Practice Address - City:HOYT LAKES
Practice Address - State:MN
Practice Address - Zip Code:55750-1169
Practice Address - Country:US
Practice Address - Phone:218-225-2110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN73474CIOtherBCBS PROVIDER ID
MN81-82306OtherMEDICA PROVIDER ID
MN110513OtherUCARE PROVIDER ID
MN81-80567OtherMEDICA PROVIDER ID
MN353567300Medicaid