NPIMap

Organization Active NPI

Palisade Fire Department

Doing business as Palisade Rescue Squad

  • Land Ambulance
  • Palisade, NE
National Provider Identifier
1083985188
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1225 Issued in NE
Legal business name
PALISADE FIRE DEPARTMENT
Doing business as
Palisade Rescue Squad
Practice address
105 S. Main St
Palisade, NE 69040
Phone
(308) 883-0771
NPI assigned
Jan 20, 2012
Last updated
Jan 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Rodney R Hunt
Title
Fire Chief
Phone
(308) 883-0771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1225 NE Primary

Addresses

Primary practice location

105 S. Main St
Palisade, NE 69040

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 057-2401

Other names 1

  • PALISADE RESCUE SQUAD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120329000028 NE Part B Supplier - Ambulance Service Supplier 8921268913 Practice locations: Palisade, 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": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1083985188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-057-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S. MAIN ST",
            "city": "PALISADE",
            "state": "NE",
            "postal_code": "69040",
            "telephone_number": "308-883-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALISADE FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "308-883-0771"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PALISADE RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palisade, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.