NPIMap

Organization Active NPI

City of McCook

Doing business as McCook City and Volunteer Fire Dept

  • Land Ambulance
  • McCook, NE
National Provider Identifier
1093856148
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5033 Issued in NE
Legal business name
CITY OF MCCOOK
Doing business as
McCook City and Volunteer Fire Dept
Practice address
505 W. C St
McCook, NE 69001-3672
Phone
(308) 345-5710
NPI assigned
Feb 10, 2007
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Marc Harpham
Title
Rescue Captain
Phone
(877) 218-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5033 NE Primary

Addresses

Primary practice location

505 W. C St
McCook, NE 69001-3672

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
09486OtherNEBLUE CROSS NEBRASKA
590014589OtherRAILROAD MEDICARE

Other names 1

  • MCCOOK CITY AND VOLUNTEER FIRE DEPT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100610000706 NE Part B Supplier - Ambulance Service Supplier 3274663638 Practice locations: MC Cook, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0980748City of McCook Ambulance Service505 West C Street, McCook, NE 69001Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

505 W C St
McCook, NE 69001
Phone (308) 345-5710

526 W B St
McCook, NE 69001
Phone (308) 345-5710

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1093856148",
    "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": "505 W. C ST",
            "city": "MCCOOK",
            "state": "NE",
            "postal_code": "690013672",
            "telephone_number": "308-345-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MCCOOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "HARPHAM",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "877-218-4392"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NEBRASKA",
            "identifier": "09486",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCOOK CITY AND VOLUNTEER FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCCOOK CITY AND VOLUNTEER FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.