Provider Demographics
NPI:1922569227
Name:CITY OF BOZEMAN
Entity Type:Organization
Organization Name:CITY OF BOZEMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIREFIGHTER/PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:SZYMANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-582-2350
Mailing Address - Street 1:34 N ROUSE AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-3762
Mailing Address - Country:US
Mailing Address - Phone:406-582-2350
Mailing Address - Fax:
Practice Address - Street 1:34 N ROUSE AVE
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3762
Practice Address - Country:US
Practice Address - Phone:406-582-2350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport