Organization
CITY OF BRIDGEPORT
Active
Other names
Bridgeport EMS Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN J BAUMGARTNER NREMT-P (BILLING CLERK)
(308) 635-0511
Entity
Organization
Contact information
Practice address
809 MAIN ST, BRIDGEPORT, NE 69336-4046
(308) 635-0511
(308) 635-0164
Mailing address
422 S BELTLINE HWY E, SCOTTSBLUFF, NE 69361-3501
(308) 635-0511
(308) 635-0164
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1039
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025261100
—
NE
01
—
39409
BCBS
NE
Enumeration date
03/17/2006
Last updated
01/11/2010
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