Orchard Volunteer Fire and Rescue – Land Ambulance

Key facts

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

CLIA number	Laboratory	Certificate	Expires
28D2138254	Orchard Volunteer Fire & Rescue 240 Windom Street, Orchard, NE 68764	Certificate of waiver	Oct 11, 2027

Enrollment ID	State	Provider type	PAC ID	Details
O20040812000471	NE	Part B Supplier - Ambulance Service Supplier	2062484660	Practice locations: Orchard, NE

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	1216	NE	Yes

240 Windom St
Orchard, NE 68764-5077

240 Windom St
Orchard, NE 68764-5077
Phone (402) 572-4019

Identifier	Type	State	Issuer
09336	Other	NE	BLUE CROSS BLUE SHIELD

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.