Organization
CITY OF MITCHELL
Active
Other names
Mitchell Vol Fire Dept
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN BAUMGARTNER NREMT-P (BILLING AGENT)
(308) 635-0511
Entity
Organization
Contact information
Practice address
1145 CENTER AVE, MITCHELL, NE 69357-1442
(308) 623-1523
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
5036
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39410
BCBS PROVIDER #
NE
Enumeration date
03/07/2006
Last updated
08/22/2020
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