Provider Demographics
NPI:1548215809
Name:CITY OF BEAVER CITY
Entity Type:Organization
Organization Name:CITY OF BEAVER CITY
Other - Org Name:BEAVER CITY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:WOODRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-268-2145
Mailing Address - Street 1:PO BOX 185
Mailing Address - Street 2:
Mailing Address - City:BEAVER CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68926-2761
Mailing Address - Country:US
Mailing Address - Phone:308-268-2145
Mailing Address - Fax:308-268-2222
Practice Address - Street 1:301 10TH STREET
Practice Address - Street 2:
Practice Address - City:BEAVER CITY
Practice Address - State:NE
Practice Address - Zip Code:68926-2761
Practice Address - Country:US
Practice Address - Phone:308-268-2145
Practice Address - Fax:308-268-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1024341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE091723Medicare ID - Type Unspecified