Waterloo Fire and Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5104 Issued in NE

Legal business name

WATERLOO FIRE AND RESCUE

Doing business as

Waterloo Fire and Rescue

Practice address

405 7TH St
Waterloo, NE 68069-2245

Phone

(402) 779-4250

Fax

(402) 779-0841

NPI assigned

Apr 23, 2010

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Pojar

Title

Rescue Lieutenant

Phone

(402) 350-3408

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WATERLOO FIRE AND RESCUE Doing business as

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

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1194042788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 7TH ST",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680692245",
            "telephone_number": "402-779-4250",
            "fax_number": "402-779-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "POJAR",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "RESCUE LIEUTENANT",
        "authorized_official_telephone_number": "402-350-3408"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATERLOO FIRE AND RESCUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WATERLOO FIRE AND RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simplistic Solutions
• Jennifer M Simpson, APRN
• Paige Stanzel, PA
• Peggy Staup, RN
• Michelle Ann Tsatsos
• Waterloo Fire Department (Waterloo Fire and Rescue)
• Stephani Wesely
• Richard Lee Whitney
• Kayle A Wiseman, CTRS

• Land Ambulance in Waterloo, NE
• Providers in Waterloo, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.