Organization Active NPI

South Central EMS LLC

  • Land Ambulance
  • Geneva, NE
National Provider Identifier
1124541677
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTH CENTRAL EMS LLC
Practice address
156 S 8TH St
Geneva, NE 68361
Phone
(402) 984-9248
NPI assigned
Jul 17, 2017
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Ryan M Hamburger
Title
Ceo
Phone
(402) 984-9248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

156 S 8TH St
Geneva, NE 68361

Mailing address

156 S 8TH St
Geneva, NE 68361-1915
Phone (402) 984-9248

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171229002257 NE Part B Supplier - Ambulance Service Supplier 9638437304 Practice locations: Geneva, NE; Hastings, 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
28D2133586South Central EMS LLC156 South 8TH Street, Geneva, NE 68361Certificate of waiverJul 16, 2027

National Provider Directory

National Provider Directory

Locations

156 S 8th St
Geneva, NE 68361
Phone (402) 759-6567

2303 W 2nd St
Hastings, NE 68901
Phone (402) 759-6567

1015 Elm St
Seward, NE 68434
Phone (402) 759-6567

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1124541677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S 8TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683611915",
            "telephone_number": "402-984-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S 8TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "68361",
            "telephone_number": "402-984-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "HAMBURGER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-984-9248"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.