Bancroft Rural Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1020 Issued in NE

Legal business name

BANCROFT RURAL FIRE DISTRICT

Doing business as

Bancroft Rural Vol. Fire and Resuce

Practice address

401 Main Street
Bancroft, NE 68004

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Nov 1, 2006

Last updated

May 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dusti Marie Storm

Title

Assistant Rescue Captain

Phone

(402) 380-4226

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BANCROFT RURAL VOL. FIRE AND RESUCE Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1093892879",
    "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": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN STREET",
            "city": "BANCROFT",
            "state": "NE",
            "postal_code": "68004",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT RURAL FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "STORM",
        "authorized_official_first_name": "DUSTI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ASSISTANT RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-380-4226"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "09464",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025024700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BANCROFT RURAL VOL. FIRE AND RESUCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bancroft-Rosalie Community School
• Janell L Garrett
• Antonia Rae Goeken
• Brianna Christine Hansen
• Mercy Medical Services (Bancroft Mercy Medical Clinic)

• Land Ambulance in Bancroft, NE
• Providers in Bancroft, NE by specialty
• Land Ambulance in Nebraska

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