Organization Active NPI

City of Fremont

  • Land Ambulance
  • Fremont, NE
National Provider Identifier
1205825981
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF FREMONT
Practice address
415 E 16TH St
Fremont, NE 68025-3446
Phone
(402) 727-2688
Fax
(402) 727-2829
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Ms. Todd J Bernt
Title
Fire Chief
Phone
(402) 727-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

415 E 16TH St
Fremont, NE 68025-3446

Mailing address

400 E Military Ave
Fremont, NE 68025-5141
Phone (402) 727-2622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050912001246 NE Part B Supplier - Ambulance Service Supplier 4082647904 Practice locations: Fremont, 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
28D0980957City of Fremont/Fremont Fire Department415 East 16TH Street, Fremont, NE 68025Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

415 E 16th St
Fremont, NE 68025
Phone (402) 727-2633

400 E Military Ave
Fremont, NE 68025

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1205825981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MILITARY AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680255141",
            "telephone_number": "402-727-2622",
            "fax_number": "402-727-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E 16TH ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253446",
            "telephone_number": "402-727-2688",
            "fax_number": "402-727-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FREMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "BERNT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "402-727-2622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.