Active NPI
Wilcox Rural Fire District
Doing business as Wilcox Vol. Fire Dept.
- Land Ambulance
- Wilcox, NE
National Provider Identifier
1205029121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1328
- Legal business name
- WILCOX RURAL FIRE DISTRICT
- Doing business as
- Wilcox Vol. Fire Dept.
- Practice address
- 112 So Main
Wilcox, NE 68982 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Aug 23, 2007
- Last updated
- Apr 14, 2026
- 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
- Mr. Dustin Johnson
- Title
- Ambulance Chief
- Phone
- (308) 991-7788
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1328 | NE | Primary |
Addresses
Primary practice location
112 So Main
Wilcox, NE 68982
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100255736-00 | Medicaid | NE |
Other names 1
- WILCOX VOL. FIRE DEPT.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071203000660 | NE | Part B Supplier - Ambulance Service Supplier | 0345339024 | Practice locations: Wilcox, NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1205029121",
"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": "112 SO MAIN",
"city": "WILCOX",
"state": "NE",
"postal_code": "68982",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILCOX RURAL FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-23",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "DUSTIN",
"authorized_official_title_or_position": "AMBULANCE CHIEF",
"authorized_official_telephone_number": "308-991-7788",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "1328",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100255736-00",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WILCOX VOL. FIRE DEPT.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilcox, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.