Provider Demographics
NPI:1023193976
Name:BRADY VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:BRADY VOLUNTEER FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:308-530-6443
Mailing Address - Street 1:10802 FARNAM DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3237
Mailing Address - Country:US
Mailing Address - Phone:877-218-4392
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:207 E. COMMERCIAL ST.
Practice Address - Street 2:
Practice Address - City:BRADY
Practice Address - State:NE
Practice Address - Zip Code:69123-0031
Practice Address - Country:US
Practice Address - Phone:308-584-3513
Practice Address - Fax:308-584-3771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE091919Medicare ID - Type Unspecified