Active NPI
Winside Rescue Unit
- Land Ambulance
- Winside, NE
National Provider Identifier
1184945081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WINSIDE RESCUE UNIT
- Practice address
- 210 Main Street
Winside, NE 68790-0296 - Phone
- (402) 286-4815
- NPI assigned
- Jun 15, 2010
- Last updated
- Jun 15, 2010
- 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
- Verneal Marotz
- Title
- Rescue Captain
- Phone
- (402) 572-4019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
210 Main Street
Winside, NE 68790-0296
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100909000054 | NE | Part B Supplier - Ambulance Service Supplier | 1759406192 | Practice locations: Winside, NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1184945081",
"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": "210 MAIN STREET",
"city": "WINSIDE",
"state": "NE",
"postal_code": "687900296",
"telephone_number": "402-286-4815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINSIDE RESCUE UNIT",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "MAROTZ",
"authorized_official_first_name": "VERNEAL",
"authorized_official_title_or_position": "RESCUE CAPTAIN",
"authorized_official_telephone_number": "402-572-4019"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winside, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.