NPIMap

Organization Active NPI

Elba Rural Fire District

Doing business as Elba Volunteer Fire Dept.

  • Land Ambulance
  • Elba, NE
National Provider Identifier
1134428725
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1104 Issued in NE
Legal business name
ELBA RURAL FIRE DISTRICT
Doing business as
Elba Volunteer Fire Dept.
Practice address
713 12TH Street
Elba, NE 68835
Phone
(402) 572-4019
Fax
(402) 991-0719
NPI assigned
Mar 22, 2011
Last updated
Mar 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Authorized official

Name
Patricia I Soneson
Title
Rescue Captain
Phone
(402) 572-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1104 NE Primary

Addresses

Primary practice location

713 12TH Street
Elba, NE 68835

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other names 1

  • ELBA VOLUNTEER FIRE DEPT. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000330 NE Part B Supplier - Ambulance Service Supplier 1951587500 Practice locations: Elba, NE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1134428725",
    "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": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 12TH STREET",
            "city": "ELBA",
            "state": "NE",
            "postal_code": "68835",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBA RURAL FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "SONESON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELBA VOLUNTEER FIRE DEPT.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elba, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.