Organization
CITY OF BELLEVUE
Active
Organization
CITY OF BELLEVUE
Active
Parent organization
CITY OF BELLEVUE
Other names
Emergency Medical Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF BELLEVUE
Authorized official
MS. DEE E GRAY (BILLING MANAGER)
(402) 591-4530
Entity
Organization
Contact information
Practice address
211 W 22ND AVE, BELLEVUE, NE 68005-5072
(402) 591-4530
(402) 293-3079
Mailing address
1500 WALL ST, BELLEVUE, NE 68005-5299
(402) 591-4530
(402) 293-3079
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5008
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0401618
—
IA
05
—
10025650800
—
NE
01
—
39466
BLUECROSS BLUESHIELD
NE
01
—
614464000
US DOL FECA
—
Enumeration date
07/06/2008
Last updated
04/24/2024
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