Provider Demographics
NPI:1083867774
Name:VILLAGE OF BERTRAND
Entity Type:Organization
Organization Name:VILLAGE OF BERTRAND
Other - Org Name:BERTRAND VOLUNTEER RESCUE UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:UNIT CHIEF/UNIT CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:MONTE
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:GREGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-472-3455
Mailing Address - Street 1:PO BOX 295
Mailing Address - Street 2:507 MINOR AVE
Mailing Address - City:BERTRAND
Mailing Address - State:NE
Mailing Address - Zip Code:68927-0295
Mailing Address - Country:US
Mailing Address - Phone:308-472-3455
Mailing Address - Fax:
Practice Address - Street 1:507 MINOR AVE
Practice Address - Street 2:
Practice Address - City:BERTRAND
Practice Address - State:NE
Practice Address - Zip Code:68927-3840
Practice Address - Country:US
Practice Address - Phone:308-472-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10323416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport