Active NPI
City of Holdrege
- Ambulance
- Holdrege, NE
National Provider Identifier
1174559496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1153
- Legal business name
- CITY OF HOLDREGE
- Practice address
- 1215 Tibbals St
Holdrege, NE 68949-1255 - Phone
- (308) 995-3275
- Fax
- (308) 995-3223
- NPI assigned
- Jun 26, 2006
- Last updated
- Jul 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Wagner
- Title
- Fire Chief
- Phone
- (308) 995-8681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1153 | NE | Primary |
Addresses
Primary practice location
1215 Tibbals St
Holdrege, NE 68949-1255
Mailing address
502 East Ave
Holdrege, NE 68949-2217
Phone (308) 995-8681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 039499 | Other | NE | BCBS OF NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050921001049 | NE | Part B Supplier - Ambulance Service Supplier | 9638103484 | Practice locations: Holdrege, NE |
National Provider Directory
National Provider DirectoryLocations
502 East Ave
Holdrege, NE 68949
Phone (308) 995-8681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215388800000",
"number": "1174559496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 EAST AVE",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689492217",
"telephone_number": "308-995-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 TIBBALS ST",
"city": "HOLDREGE",
"state": "NE",
"postal_code": "689491255",
"telephone_number": "308-995-3275",
"fax_number": "308-995-3223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF HOLDREGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2008-07-07",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "308-995-8681"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NE",
"license": "1153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NE",
"identifier": "039499",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holdrege, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.