Organization
VILLAGE OF LYMAN
Active
Other names
Lyman Vol Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN J BAUMGARTNER NRP (BILLING CLERK)
(308) 635-0511
Entity
Organization
Contact information
Practice address
307 JEFFERS, LYMAN, NE 69352
(308) 635-0511
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
1180
NE
341600000X
Ambulance
Primary
1462
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09366
BCBS
NE
01
—
590014892
RAILROAD MEDICARE
NE
Enumeration date
03/21/2006
Last updated
10/30/2015
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