Active NPI
Southwest Rural Fire Protection District
- Land Ambulance
- Lincoln, NE
National Provider Identifier
1043285778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5051
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09252 | Other | NE | BLUE CROSS PROVIDER |
| 590013926 | Other | RAILROAD MEDICARE PROVIDE |
Other names 1
- SOUTHWEST RURAL FIRE DEPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110511000721 | NE | Part B Supplier - Ambulance Service Supplier | 7517143308 | Practice locations: Lincoln, NE; Martell, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0989934 | Southwest Rural Fire Protection Dist | Certificate of waiver | Aug 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.