Active NPI
SRMC EMS LLC
- Ambulance
- Sidney, NE
National Provider Identifier
1225875719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SRMC EMS LLC
- Practice address
- 1000 Pole Creek Xing
Sidney, NE 69162-2901 - Phone
- (308) 254-5064
- NPI assigned
- Jul 11, 2024
- 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
- Kelly K Utley
- Title
- Cfo
- Phone
- (308) 249-0052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
1000 Pole Creek Xing
Sidney, NE 69162-2901
Mailing address
1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241112001388 | NE | Part B Supplier - Ambulance Service Supplier | 5395279442 | Practice locations: Sidney, NE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Critical Access Hospital
- Sidney, NE
- NPI 1487736963
Member Of
Locations
714 Osage St
Sidney, NE 69162
Phone (308) 254-8965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736726400000",
"number": "1225875719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 POLE CREEK XING",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691622901",
"telephone_number": "308-254-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 POLE CREEK XING",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691622901",
"telephone_number": "308-254-5064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SRMC EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-11",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A",
"authorized_official_last_name": "UTLEY",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "308-249-0052"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sidney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.