NPIMap

Organization Active NPI

Newcastle Volunteer Fire Department

  • Land Ambulance
  • Newcastle, NE
National Provider Identifier
1083702575
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1204 Issued in NE
Legal business name
NEWCASTLE VOLUNTEER FIRE DEPARTMENT
Practice address
205 Mary Street
Newcastle, NE 68757
Phone
(402) 355-0555
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
John Kneifl
Title
Billing Officer
Phone
(402) 355-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1204 NE Primary

Addresses

Primary practice location

205 Mary Street
Newcastle, NE 68757

Mailing address

PO Box 309
Newcastle, NE 68757-0309
Phone (402) 355-0555

Other identifiers 1

IdentifierTypeStateIssuer
100249536-00MedicaidNE

Other names 1

  • Newcastle Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000864 NE Part B Supplier - Ambulance Service Supplier 9234189010 Practice locations: Newcastle, 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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1083702575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "NEWCASTLE",
            "state": "NE",
            "postal_code": "687570309",
            "telephone_number": "402-355-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARY STREET",
            "city": "NEWCASTLE",
            "state": "NE",
            "postal_code": "68757",
            "telephone_number": "402-355-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCASTLE VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "KNEIFL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "BILLING OFFICER",
        "authorized_official_telephone_number": "402-355-0555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100249536-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newcastle Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newcastle, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.