Bloomfield Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

License

5010 Issued in NE

Legal business name

BLOOMFIELD AMBULANCE SERVICE

Practice address

211 North Broadway
Bloomfield, NE 68718-0251

Phone

(402) 373-4542

Fax

(402) 373-2421

NPI assigned

Nov 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Norma Ann Ober, EMT

Title

Secretary Treasurer

Phone

(402) 373-4542

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bloomfield Lindy Ambulance Service Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey S Holtz

  • Day Training/Habilitation Specialist
  • Bloomfield, NE
  • NPI 1205632544
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1164501334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251 211 NORTH BROADWAY",
            "city": "BLOOMFIELD",
            "state": "NE",
            "postal_code": "687180251",
            "telephone_number": "402-373-4542",
            "fax_number": "402-373-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NORTH BROADWAY",
            "city": "BLOOMFIELD",
            "state": "NE",
            "postal_code": "687180251",
            "telephone_number": "402-373-4542",
            "fax_number": "402-373-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "OBER",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "402-373-4542",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "5010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252474 00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NE",
            "identifier": "39414",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomfield Lindy Ambulance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca Lin Baehr
• Bloomfield Medical Clinic, PC
• Jennifer Lynn Bollich
• Robert D Bollich
• Marissa Bruce
• Diane Carroll

• All providers in Bloomfield, NE
• Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.