# CITY OF BRIDGEPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeport EMS Department
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093784399
- **Authorized official:** MR. SHAWN J BAUMGARTNER NREMT-P (BILLING CLERK)
- **Authorized official phone:** (308) 635-0511

## Contact information

- **Practice address:** 809 MAIN ST, BRIDGEPORT, NE 69336-4046
- **Practice address phone:** (308) 635-0511
- **Practice address fax:** (308) 635-0164
- **Mailing address:** 422 S BELTLINE HWY E, SCOTTSBLUFF, NE 69361-3501
- **Mailing address phone:** (308) 635-0511
- **Mailing address fax:** (308) 635-0164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1039 | NE | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 01/11/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025261100 | — | NE |
| 01 | — | 39409 | BCBS | NE |