Provider Demographics
NPI:1598495483
Name:CITY OF SEWARD
Entity Type:Organization
Organization Name:CITY OF SEWARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. CHIEF - AUTHORIZED OFFICIA
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:NORMAN
Authorized Official - Last Name:BRUMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-641-4504
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:531-895-5853
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:222 N 3RD ST
Practice Address - Street 2:
Practice Address - City:SEWARD
Practice Address - State:NE
Practice Address - Zip Code:68434-2141
Practice Address - Country:US
Practice Address - Phone:402-643-3811
Practice Address - Fax:877-343-0131
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF SEWARD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-14
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100275706-00Medicaid