Organization
VILLAGE OF BRADNER
Active
Other names
Village of Bradner Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY E JAMES (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
—
—
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
07/09/2025
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