NPIMap

Organization Active NPI

Blair Rescue Squad

  • Land Ambulance
  • Blair, NE
National Provider Identifier
1164565008
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5009 Issued in NE
Legal business name
BLAIR RESCUE SQUAD
Practice address
218 S 16TH St
Blair, NE 68008-2010
Phone
(402) 572-4019
Fax
(402) 965-8594
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Hodson
Title
Captain
Phone
(402) 572-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5009 NE Primary

Addresses

Primary practice location

218 S 16TH St
Blair, NE 68008-2010

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
39435OtherNEBLUE CROSS PROVIDER NO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164565008",
    "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": "218 S 16TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680082010",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "39435",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blair, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.