Homer Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5026 Issued in NE

Legal business name

HOMER VOLUNTEER FIRE DEPARTMENT

Doing business as

Homer Vol. Fire Dep

Practice address

112 John St
Homer, NE 68030

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Jan 29, 2007

Last updated

Apr 28, 2010By 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

Dale L Barclay

Title

Rescue Chief

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HOMER VOL. FIRE DEP Doing business as

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1134265366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JOHN ST",
            "city": "HOMER",
            "state": "NE",
            "postal_code": "68030",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RESCUE CHIEF",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "09277",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025229400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOMER VOL. FIRE DEP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Brand
• Kealyn Ensminger
• Terri Hernandez
• Homer Community School
• Homer Rural Fire Protection (Homer Volunteer Fire Department)

• Land Ambulance in Homer, NE
• Providers in Homer, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.