Active NPI
County of Chase
- Land Ambulance
- Imperial, NE
National Provider Identifier
1225030422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- COUNTY OF CHASE
- Practice address
- 1233 Grant St
Imperial, NE 69033-1299 - Phone
- (308) 882-7510
- Fax
- (308) 882-7553
- NPI assigned
- Jun 1, 2005
- Last updated
- Aug 3, 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
- Julie Sharp
- Title
- Ambulance Admin
- Phone
- (308) 882-7510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1317 | NE | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1233 Grant St
Imperial, NE 69033-1299
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other practice location 1
126 N Tecumseh
Wauneta, NE 69045
Phone (308) 882-7510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09379 | Other | NE | BCBS PROVIDER NUMBER |
| ========= | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101119000558 | NE | Part B Supplier - Ambulance Service Supplier | 7517153281 | Practice locations: Wauneta, NE; Imperial, NE |
National Provider Directory
National Provider Directory- Tax ID family
- County of Chase
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Secured Medical Transport (VAN)
- Imperial, NE
- NPI 1295488427
Locations
921 Broadway
Imperial, NE 69033
Phone (308) 394-5670
139 N Tecumseh
Wauneta, NE 69045
Phone (308) 394-5670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1225030422",
"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": "1233 GRANT ST",
"city": "IMPERIAL",
"state": "NE",
"postal_code": "690331299",
"telephone_number": "308-882-7510",
"fax_number": "308-882-7553"
}
],
"practiceLocations": [
{
"address_1": "126 N Tecumseh",
"address_purpose": "LOCATION",
"city": "Wauneta",
"state": "NE",
"postal_code": "69045",
"country_code": "US",
"telephone_number": "308-882-7510",
"fax_number": "308-882-7553",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COUNTY OF CHASE",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "SHARP",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "AMBULANCE ADMIN",
"authorized_official_telephone_number": "308-882-7510"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NE",
"license": "1317",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "09379",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "=========",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Imperial, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.