1396814729 NPI number — ATKINSON RURAL FIRE PROTECTION DISTRICT

Table of content: (NPI 1396814729)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396814729 NPI number — ATKINSON RURAL FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ATKINSON RURAL FIRE PROTECTION DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ATKINSON AMBULANCE SERVICE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396814729
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 639
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATKINSON
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68713-0639
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-340-3854
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
512 EAST PEARL STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATKINSON
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68713-0639
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-340-3854
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHRUNK
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
J
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
402-340-3854

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  90 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 39420 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com