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Organization
VILLAGE OF BRADNER
Active
Organization
VILLAGE OF BRADNER
Active
Other names
Village of Bradner Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GUDAKUNST II (MAYOR)
(419) 288-2890
Entity
Organization
Contact information
Practice address
117 E CROCKER ST, BRADNER, OH 43406-9805
(419) 288-2890
(419) 288-0053
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156053
ANTHEM BLUE CROSS
OH
05
—
0135713
—
OH
01
—
10202
PARAMOUNT
—
01
—
791590551
RAILROAD MEDICARE
—
Enumeration date
08/25/2005
Last updated
07/07/2026
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