NPIMap

Organization Active NPI

City of Nebraska City

  • Land Ambulance
  • Nebraska City, NE
National Provider Identifier
1194979831
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5123 Issued in NE
Legal business name
CITY OF NEBRASKA CITY
Doing business as
NEBRASKA CITY FIRE AND RESCUE DEPARTMENT
Practice address
1409 Central Ave
Nebraska City, NE 68410-2223
Phone
(402) 572-4019
Fax
(402) 965-8594
NPI assigned
Nov 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Andrew Vincent Snodgrass
Title
Paramedic Manager
Phone
(402) 873-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 5123 NE Primary

Addresses

Primary practice location

1409 Central Ave
Nebraska City, NE 68410-2223

Mailing address

1409 Central Ave
Nebraska City, NE 68410-2223
Phone (402) 873-3579

Other identifiers 1

IdentifierTypeStateIssuer
10025691300MedicaidNE

Other names 1

  • NEBRASKA CITY FIRE AND RESCUE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090318000253 NE Part B Supplier - Ambulance Service Supplier 1658438627 Practice locations: Nebraska City, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1050545Nebraska City Fire & Rescue Department, EMS Div1409 Central Ave, Nebraska City, NE 68410Certificate of waiverFeb 6, 2028

National Provider Directory

National Provider Directory

Locations

1409 Central Ave
Nebraska City, NE 68410
Phone (402) 873-3444

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1194979831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 CENTRAL AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102223",
            "telephone_number": "402-873-3579",
            "fax_number": "402-817-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 CENTRAL AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684102223",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEBRASKA CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PARAMEDIC MANAGER",
        "authorized_official_telephone_number": "402-873-3444"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025691300",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEBRASKA CITY FIRE AND RESCUE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEBRASKA CITY FIRE AND RESCUE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nebraska City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.