Ceresco Rural Fire Protection District No 5

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1058 Issued in 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

Last updated

Jun 11, 2013By 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

Ms. Sheryl L Henderson

Title

Captain-Appointed Authorized Offici

Phone

(402) 665-2391

Specialties & licenses 1

Addresses

Other names 1

• Ceresco Fire & Rescue Department Other name

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1104916634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "CERESCO",
            "state": "NE",
            "postal_code": "680170327",
            "telephone_number": "402-665-2227",
            "fax_number": "402-665-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SOUTH 2ND STREET",
            "city": "CERESCO",
            "state": "NE",
            "postal_code": "680170327",
            "telephone_number": "402-665-2227",
            "fax_number": "402-665-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERESCO RURAL FIRE PROTECTION DISTRICT NO 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CAPTAIN-APPOINTED AUTHORIZED OFFICI",
        "authorized_official_telephone_number": "402-665-2391",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "1058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ceresco Fire & Rescue Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Donna Basler
• Briana Lee Boner
• Bruce W Evans
• Samantha Jo Evans
• Trina Hall
• Patty Kay Kettelhut
• Beth Marie Nacke, MS, RDN, LMNT

• Ambulance in Ceresco, NE
• Providers in Ceresco, NE by specialty
• Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.