Ceresco Rural Fire Protection District No 5
Organization Active NPI Ambulance · Ceresco, NE
NPI 1104916634 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1104916634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1058 (NE)
- Legal business name
- CERESCO RURAL FIRE PROTECTION DISTRICT NO 5
- Practice address
- 217 South 2ND Street
Ceresco, NE 68017-0327 - Phone
- (402) 665-2227
- Fax
- (402) 665-2100
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Sheryl L Henderson
- Title
- Captain-Appointed Authorized Offici
- Phone
- (402) 665-2391
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100715000728 | NE | Part B Supplier - Ambulance Service Supplier | 1759413461 | Practice locations: Ceresco, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1058 | NE | Yes |
Addresses
Primary practice location
217 South 2ND Street
Ceresco, NE 68017-0327
Mailing address
PO Box 327
Ceresco, NE 68017-0327
Phone (402) 665-2227
Other names
- Ceresco Fire & Rescue Department
Other providers in Ceresco, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.