Provider Demographics
NPI:1215016787
Name:BELLWOOD RURAL FIRE DIST 5
Entity type:Organization
Organization Name:BELLWOOD RURAL FIRE DIST 5
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:GANGWISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-641-1694
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:877-218-4392
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:752 41ST ROAD
Practice Address - Street 2:
Practice Address - City:BELLWOOD
Practice Address - State:NE
Practice Address - Zip Code:68624-0154
Practice Address - Country:US
Practice Address - Phone:402-538-4025
Practice Address - Fax:402-538-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport