City of South Sioux City Nebr

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1270 Issued in NE

Legal business name

CITY OF SOUTH SIOUX CITY NEBR

Doing business as

South Sioux City Fire Department

Practice address

1501 Dakota Ave
South Sioux City, NE 68776-2528

Phone

(877) 218-4392

Fax

(877) 343-0131

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Douglas Koopman

Title

Fire Chief

Phone

(402) 494-7508

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SOUTH SIOUX CITY FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1245410794",
    "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": "1501 DAKOTA AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762528",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTH SIOUX CITY NEBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "KOOPMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "402-494-7508"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025582100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS LEGACY PROVIDER NUMBER",
            "identifier": "09415",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH SIOUX CITY FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH SIOUX CITY FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Agelica Chavez
• Alba Chavez
• Michael Howard Cheever
• Ifan Chen, ARNP
• Morgan Christensen
• Ella Claren
• Cnos, PC
• Jay E Collier, PT
• Community Rehab LLC (ATI Physical Thearpy)
• Jenna Marie Comstock, ARNP

• Land Ambulance in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.