Organization Active NPI

Village of Adams

  • Ambulance
  • Adams, NE
National Provider Identifier
1124326319
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1001 Issued in NE
Legal business name
VILLAGE OF ADAMS
Practice address
730 Main St
Adams, NE 68301-6053
Phone
(877) 218-4392
Fax
(877) 343-0131
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Kendra Jantzen
Title
Village Clerk
Phone
(402) 988-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1001 NE Primary

Addresses

Primary practice location

730 Main St
Adams, NE 68301-6053

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other names 1

  • ADAMS RESCUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110503000497 NE Part B Supplier - Ambulance Service Supplier 3779768924 Practice locations: Adams, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2035923Adams Rescue730 Main Street, Adams, NE 68301Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1124326319",
    "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": "730 MAIN ST",
            "city": "ADAMS",
            "state": "NE",
            "postal_code": "683016053",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ADAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "JANTZEN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "VILLAGE CLERK",
        "authorized_official_telephone_number": "402-988-2269"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "1001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAMS RESCUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADAMS RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adams, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.