# COUNTY OF BANNER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Banner County Vol Fire Dept
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659349546
- **Authorized official:** MR. SHAWN BAUMGARTNER NREMT-P (BILLING AGENT)
- **Authorized official phone:** (308) 635-0511

## Contact information

- **Practice address:** 304 PENNSYLVANIA AVE, HARRISBURG, NE 69345
- **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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 5006 | NE | Yes |

## Other

- **Enumeration date:** 03/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 39497 | BCBS PROVIDER \# | NE |