City of Bellevue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5008 Issued in NE

Legal business name

CITY OF BELLEVUE

Practice address

211 W 22ND Ave
Bellevue, NE 68005-5072

Phone

(402) 591-4530

Fax

(402) 293-3079

NPI assigned

Jul 6, 2008

Organization subpart

Yes

Parent organization

CITY OF BELLEVUEAs reported in NPPES

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

Authorized official

Name

Ms. Dee E Gray

Title

Billing Manager

Phone

(402) 591-4530

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Emergency Medical Services Other name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Part of

City of Bellevue

Locations

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

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1154584639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 WALL ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680055299",
            "telephone_number": "402-591-4530",
            "fax_number": "402-293-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 22ND AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680055072",
            "telephone_number": "402-591-4530",
            "fax_number": "402-293-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BELLEVUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BELLEVUE",
        "enumeration_date": "2008-07-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DEE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "402-591-4530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0401618",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025650800",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DOL FECA",
            "identifier": "614464000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "39466",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39466",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Medical Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Emergency Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Juanita Christian
• Christians Love and Comfort Crew, LLC
• Christina Broekemeier Limhp LLC
• Addyson Christner
• John J Cimino, M.D., FACC
• Ashley Clark
• Ashley Nicole Clark
• Janice Marie Clark, L.C.S.W.
• Jennifer Clark
• Latisha Clark

• All providers in Bellevue, NE
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.