Provider Demographics
NPI:1154329340
Name:CITY OF PAPILLION
Entity Type:Organization
Organization Name:CITY OF PAPILLION
Other - Org Name:PAPILLION FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-339-8617
Mailing Address - Street 1:146 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-2422
Mailing Address - Country:US
Mailing Address - Phone:402-339-8617
Mailing Address - Fax:402-597-1111
Practice Address - Street 1:146 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-2422
Practice Address - Country:US
Practice Address - Phone:402-339-8617
Practice Address - Fax:402-597-1111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE50143416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE=========00Medicaid