1336181726 NPI number — VERDIGRE VOLUNTEER FIRE & RESCUE

Table of content: (NPI 1336181726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336181726 NPI number — VERDIGRE VOLUNTEER FIRE & RESCUE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VERDIGRE VOLUNTEER FIRE & RESCUE
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:
Provider Other Organization Name Type Code:
6
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:
1336181726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 171
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VERDIGRE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68783-0171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-640-1201
Provider Business Mailing Address Fax Number:
402-668-2207

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 3RD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VERDIGRE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68783-5125
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-640-1201
Provider Business Practice Location Address Fax Number:
605-583-3673
Provider Enumeration Date:
06/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRIM
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
TREASUER
Authorized Official Telephone Number:
402-640-1201

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 39477 . This is a "BLUE CROSS BLUE SHIELD PR" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 10025244100 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com