Organization Active NPI

City of Bayard

Doing business as Bayard Fire and Rescue

  • Land Ambulance
  • Bayard, NE
National Provider Identifier
1073526398
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1023 Issued in NE
Legal business name
CITY OF BAYARD
Doing business as
Bayard Fire and Rescue
Practice address
445 Main Street
Bayard, NE 69334
Phone
(308) 586-1121
NPI assigned
Aug 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Joyce Mick
Title
City Clerk
Phone
(308) 586-1121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1023 NE Primary

Addresses

Primary practice location

445 Main Street
Bayard, NE 69334

Mailing address

PO Box 160
Bayard, NE 69334-0160
Phone (308) 586-1121

Other identifiers 1

IdentifierTypeStateIssuer
39436OtherNEBLUE CROSS BLUE SHEILD

Other names 1

  • Bayard Fire and Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070426000424 NE Part B Supplier - Ambulance Service Supplier 3577458298 Practice locations: Bayard, NE

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chimney Rock VillaBayard, NE, CCN 285260 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF
Direct Ownership Interest (100%)
May 1, 1972
May 1, 1972
May 1, 1972

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073526398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "BAYARD",
            "state": "NE",
            "postal_code": "693340160",
            "telephone_number": "308-586-1121",
            "fax_number": "308-586-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MAIN STREET",
            "city": "BAYARD",
            "state": "NE",
            "postal_code": "69334",
            "telephone_number": "308-586-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BAYARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICK",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "308-586-1121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "39436",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayard Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayard, NE

Sources for this page

Verify at the official NPI Registry.