Healthcare Provider Details
I. General information
NPI: 1023193976
Provider Name (Legal Business Name): BRADY VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/26/2006
Last Update Date: 02/22/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 E. COMMERCIAL ST.
BRADY NE
69123-0031
US
IV. Provider business mailing address
10802 FARNAM DR
OMAHA NE
68154-3237
US
V. Phone/Fax
- Phone: 308-584-3513
- Fax: 308-584-3771
- Phone: 877-218-4392
- Fax: 877-343-0131
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
BETH
FISHER SCHNEIDER
Title or Position: RESCUE CAPTAIN
Credential: EMT
Phone: 308-530-6443