MEDICARE: CITY OF LOUP CITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1992692628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF LOUP CITY

Provider Business Mailing Address
First Line	:	134 S 8TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8065
Country	:	US
Telephone Number	:	308-745-0222
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 S 8TH ST
Second Line	:
City	:	LOUP CITY
State	:	NE
Zip	:	68853-8065
Country	:	US
Telephone Number	:	308-745-0222
Fax Number	:

Authorized Official
Title or Position	:	TRANSIT MANAGER
Name	:	RYAN DURHAM
Credential	:
Telephone Number	:	308-745-0222

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/24/2025

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Directions to “CITY OF LOUP CITY ” Practice Location

Language	Start Address	Practice Location

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