City of Bridgeport

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1039 Issued in NE

Legal business name

CITY OF BRIDGEPORT

Doing business as

Bridgeport EMS Department

Practice address

809 Main St
Bridgeport, NE 69336-4046

Phone

(308) 635-0511

Fax

(308) 635-0164

NPI assigned

Mar 17, 2006

Last updated

Jan 11, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shawn J Baumgartner, NREMT-P

Title

Billing Clerk

Phone

(308) 635-0511

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bridgeport EMS Department Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1093784399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S BELTLINE HWY E",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613501",
            "telephone_number": "308-635-0511",
            "fax_number": "308-635-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693364046",
            "telephone_number": "308-635-0511",
            "fax_number": "308-635-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRIDGEPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "308-635-0511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025261100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39409",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport EMS Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Megan Cline
• Cherry L Cooper, APRN
• Amy Dawn Craig, LPN
• Melony Detweiler
• Laura L Douthit, PTA

• Ambulance in Bridgeport, NE
• Providers in Bridgeport, NE by specialty
• Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.