Active NPI
Village of Paxton
- Land Ambulance
- Paxton, NE
National Provider Identifier
1124087606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF PAXTON
- Practice address
- 108 N Oak St
Paxton, NE 69155-1322 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mari Warner
- Title
- EMS Officer
- Phone
- (531) 895-5853
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
108 N Oak St
Paxton, NE 69155-1322
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09273 | Other | NE | BLUE CROSS PROVIDER NO |
| 10025089700 | Medicaid | NE | |
| 590006525 | Other | RAILROAD MEDICARE PROVIDE |
Other names 1
- PAXTON VOLUNTEER FIRE DEPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040618001323 | NE | Part B Supplier - Ambulance Service Supplier | 6709861321 | Practice locations: Paxton, NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1124087606",
"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": "108 N OAK ST",
"city": "PAXTON",
"state": "NE",
"postal_code": "691551322",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF PAXTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-22",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "MARI",
"authorized_official_title_or_position": "EMS OFFICER",
"authorized_official_telephone_number": "531-895-5853"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO",
"identifier": "09273",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025089700",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDE",
"identifier": "590006525",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PAXTON VOLUNTEER FIRE DEPT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Paxton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.