1619095569 NPI number — COLERIDGE AMBULANCE SERVICE

Table of content: (NPI 1619095569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619095569 NPI number — COLERIDGE AMBULANCE SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COLERIDGE AMBULANCE SERVICE
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:
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:
1619095569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 276
Provider Second Line Business Mailing Address:
217 EAST BROADWAY ST.
Provider Business Mailing Address City Name:
COLERIDGE
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68727-0276
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-283-4464
Provider Business Mailing Address Fax Number:
402-283-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
217 EAST BROADWAY ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLERIDGE
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68727-0276
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-283-4464
Provider Business Practice Location Address Fax Number:
402-283-4464
Provider Enumeration Date:
03/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HEFNER
Authorized Official First Name:
GEORGE
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CHAIRMAN OF VILLAGE BOARD
Authorized Official Telephone Number:
402-283-4464

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , 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: 100250807-00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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