NPIMap

Organization Active NPI

Village of Morrill

  • Land Ambulance
  • Morrill, NE
National Provider Identifier
1104859685
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
235 Issued in NE
Legal business name
VILLAGE OF MORRILL
Practice address
310 Main
Morrill, NE 69358-0305
Phone
(308) 247-2312
Fax
(308) 247-2061
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Ms. Tammy Cooley
Title
City Clerk
Phone
(308) 247-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 235 NE Primary

Addresses

Primary practice location

310 Main
Morrill, NE 69358-0305

Mailing address

PO Box 305
Morrill, NE 69358-0305
Phone (308) 247-2312

Other identifiers 2

IdentifierTypeStateIssuer
09274OtherNEBLUE CROSS BLUE SHEILD NE
235OtherNESTATE LICENSE NUMBER

Other names 1

  • Morrill Volunteer Rescue Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000559 NE Part B Supplier - Ambulance Service Supplier 8224297528 Practice locations: Morrill, 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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1104859685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "MORRILL",
            "state": "NE",
            "postal_code": "693580305",
            "telephone_number": "308-247-2312",
            "fax_number": "308-247-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MAIN",
            "city": "MORRILL",
            "state": "NE",
            "postal_code": "693580305",
            "telephone_number": "308-247-2312",
            "fax_number": "308-247-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MORRILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CITY CLERK",
        "authorized_official_telephone_number": "308-247-2312",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD NE",
            "identifier": "09274",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "235",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrill Volunteer Rescue Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrill, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.