Provider Demographics
NPI:1902930415
Name:BELLEVUE VOL. FIRE & RESCUE
Entity Type:Organization
Organization Name:BELLEVUE VOL. FIRE & RESCUE
Other - Org Name:BELLEVUE VOL. FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-293-3154
Mailing Address - Street 1:211 W 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-5072
Mailing Address - Country:US
Mailing Address - Phone:402-293-3154
Mailing Address - Fax:402-293-3079
Practice Address - Street 1:211 W 22ND AVE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:NE
Practice Address - Zip Code:68005-5072
Practice Address - Country:US
Practice Address - Phone:402-293-3154
Practice Address - Fax:402-293-3079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5008146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09461OtherBLUE CROSS
NE09461OtherBLUE CROSS
NE=========00Medicaid
NE=========00Medicaid