Organization Active NPI

Southwest Rural Fire Protection District

  • Land Ambulance
  • Lincoln, NE
National Provider Identifier
1043285778
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5051 Issued in NE
Legal business name
SOUTHWEST RURAL FIRE PROTECTION DISTRICT
Practice address
705 W Burnham St
Lincoln, NE 68522-2116
Phone
(402) 423-0230
NPI assigned
Feb 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adam Matzner
Title
Chief
Phone
(402) 432-0875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5051 NE Primary

Addresses

Primary practice location

705 W Burnham St
Lincoln, NE 68522-2116

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853

Other identifiers 2

IdentifierTypeStateIssuer
09252OtherNEBLUE CROSS PROVIDER
590013926OtherRAILROAD MEDICARE PROVIDE

Other names 1

  • SOUTHWEST RURAL FIRE DEPT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000721 NE Part B Supplier - Ambulance Service Supplier 7517143308 Practice locations: Lincoln, NE; Martell, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0989934Southwest Rural Fire Protection Dist705 W Burnham St, Lincoln, NE 68522Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

705 W Burnham St
Lincoln, NE 68522
Phone (402) 423-0230

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1043285778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W BURNHAM ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685222116",
            "telephone_number": "402-423-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-17",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "MATZNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "402-432-0875"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "09252",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "590013926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTHWEST RURAL FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTHWEST RURAL FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.