Organization Active NPI

Greeley Fire District No 2

Doing business as Greeley Vol. Rescue Unit

  • Ambulance
  • Greeley, NE
National Provider Identifier
1063711570
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1136 Issued in NE
Legal business name
GREELEY FIRE DISTRICT NO 2
Doing business as
Greeley Vol. Rescue Unit
Practice address
110 W. O Connor Ave
Greeley, NE 68842-4316
Phone
(877) 218-4392
Fax
(877) 343-0131
NPI assigned
Mar 23, 2011
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Michelle Wood
Title
Co - Captain
Phone
(308) 428-2545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1136 NE Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

110 W. O Connor Ave
Greeley, NE 68842-4316

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other names 1

  • GREELEY VOL. RESCUE UNIT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110414000600 NE Part B Supplier - Ambulance Service Supplier 9335323443 Practice locations: Greeley, NE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1063711570",
    "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": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W. O CONNOR AVE",
            "city": "GREELEY",
            "state": "NE",
            "postal_code": "688424316",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY FIRE DISTRICT NO 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CO - CAPTAIN",
        "authorized_official_telephone_number": "308-428-2545"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "1136",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREELEY VOL. RESCUE UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.