Active NPI
City of Clarkson
Doing business as Clarkson Rescue Squad
- Ambulance
- Clarkson, NE
National Provider Identifier
1205035847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1068
- Legal business name
- CITY OF CLARKSON
- Doing business as
- Clarkson Rescue Squad
- Practice address
- 220 Bryan Street
Clarkson, NE 68629 - Phone
- (402) 892-3216
- NPI assigned
- Jul 13, 2007
- Last updated
- Oct 12, 2011
- 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
- Steve E Baumert, EMT-B
- Title
- Captain
- Phone
- (402) 860-2286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1068 | NE | Primary |
Addresses
Primary practice location
220 Bryan Street
Clarkson, NE 68629
Mailing address
220 Bryan Street
PO Box 189
Clarkson, NE 68629
Phone (402) 892-3216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47054271700 | Medicaid | NE | |
| 091792 | Other | LEGACY NUMBER |
Other names 1
- Clarkson Rescue Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120221000776 | NE | Part B Supplier - Ambulance Service Supplier | 9133387269 | Practice locations: Clarkson, NE |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Clarkson Community Care Center
- Skilled Nursing Facility
- Clarkson, NE
- NPI 1952828352
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318377600000",
"number": "1205035847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BRYAN STREET",
"address_2": "PO BOX 189",
"city": "CLARKSON",
"state": "NE",
"postal_code": "68629",
"telephone_number": "402-892-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BRYAN STREET",
"city": "CLARKSON",
"state": "NE",
"postal_code": "68629",
"telephone_number": "402-892-3216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CLARKSON",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-13",
"last_updated": "2011-10-12",
"status": "A",
"authorized_official_last_name": "BAUMERT",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "402-860-2286",
"authorized_official_credential": "EMT-B"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NE",
"license": "1068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47054271700",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGACY NUMBER",
"identifier": "091792",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clarkson Rescue Squad",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clarkson, NE
- Alegent Health Memorial Hospital (Alegent Health Memorial Hospital - Clarkson Pharmacy)
- Alegent Health Memorial Hospital, Schuyler (CHI Health Clinic Clarkson)
- Debra Ann Beringer, OTR/L
- Cada Counseling LLC
- Susan Renee Cahill, OWNER OF COMPANY
- Clarkson Care and Rehabilitation Center, LLC
- Clarkson Community Care Center Inc. (Clarkson Community Care Center)
- Clarkson Public School
- Jerod J Gall, DC
- Kylee Sue Guidry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.