# VILLAGE OF BRADNER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village of Bradner Ambulance Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376536276
- **Authorized official:** MICHAEL GUDAKUNST II (MAYOR)
- **Authorized official phone:** (419) 288-2890

## Contact information

- **Practice address:** 117 E CROCKER ST, BRADNER, OH 43406-9805
- **Practice address phone:** (419) 288-2890
- **Practice address fax:** (419) 288-0053
- **Mailing address:** PO BOX 392907, PITTSBURGH, PA 15251-9907
- **Mailing address phone:** (800) 962-1484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 07/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000156053 | ANTHEM BLUE CROSS | OH |
| 05 | — | 0135713 | — | OH |
| 01 | — | 10202 | PARAMOUNT | — |
| 01 | — | 791590551 | RAILROAD MEDICARE | — |