Provider Demographics
NPI:1376642025
Name:RAYMOND FIRE DEPARTMENT
Entity Type:Organization
Organization Name:RAYMOND FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLZAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-783-3251
Mailing Address - Street 1:4210 W RAYMOND RD
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:NE
Mailing Address - Zip Code:68428-4451
Mailing Address - Country:US
Mailing Address - Phone:402-783-3251
Mailing Address - Fax:402-783-3251
Practice Address - Street 1:4210 W RAYMOND RD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:NE
Practice Address - Zip Code:68428-4451
Practice Address - Country:US
Practice Address - Phone:402-783-3251
Practice Address - Fax:402-783-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE554681341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39490OtherBCBS OF NE
NE39490OtherBCBS OF NE
NE39490OtherBCBS OF NE