Provider Demographics
NPI:1457345118
Name:CITY OF BOWLING GREEN
Entity Type:Organization
Organization Name:CITY OF BOWLING GREEN
Other - Org Name:CITY OF BOWLING GREEN EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-354-6209
Mailing Address - Street 1:PO BOX 2122
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-1122
Mailing Address - Country:US
Mailing Address - Phone:800-926-6985
Mailing Address - Fax:419-352-1262
Practice Address - Street 1:552 E COURT ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2531
Practice Address - Country:US
Practice Address - Phone:419-352-3106
Practice Address - Fax:419-354-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000156052OtherANTHEM BLUE CROSS
OH0077741Medicaid
9030651Medicare ID - Type Unspecified