Village of Overton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1222 Issued in NE

Legal business name

VILLAGE OF OVERTON

Doing business as

Overton Vol. Fire and Rescue Depts.

Practice address

502 D. Street
Overton, NE 68863

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Oct 24, 2006

Last updated

Jan 28, 2025By 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

Mr. Joel D Beavers

Title

Asst. Chief

Phone

(531) 895-5853

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OVERTON VOL. FIRE AND RESCUE DEPTS. Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1205910544",
    "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": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 D. STREET",
            "city": "OVERTON",
            "state": "NE",
            "postal_code": "68863",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OVERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASST. CHIEF",
        "authorized_official_telephone_number": "531-895-5853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ENROLLMENT",
            "identifier": "PENDING",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OVERTON VOL. FIRE AND RESCUE DEPTS.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel D McClenahan, DDS
• Teresa M Ondrak, RDH
• Overton Public School District
• Bobbie Jean Treacle
• Katherine Elizabeth Vaughn, RDH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.

Verify at the official NPI Registry.