Organization Active NPI

City of Holdrege

  • Ambulance
  • Holdrege, NE
National Provider Identifier
1174559496
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1153 Issued in NE
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
039499OtherNEBCBS OF NE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921001049 NE Part B Supplier - Ambulance Service Supplier 9638103484 Practice locations: Holdrege, NE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.