Active NPI
Norfolk Ambulance Service, Inc.
- Land Ambulance
- Norfolk, NE
National Provider Identifier
1265565006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5038
- Legal business name
- NORFOLK AMBULANCE SERVICE, INC.
- Practice address
- 102 E Wilson Ave
Norfolk, NE 68701-2969 - Phone
- (402) 371-2111
- Fax
- (402) 379-2845
- NPI assigned
- Mar 13, 2007
- 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
- Ms. Ardith E Kutchera
- Title
- Owner/President
- Phone
- (402) 371-2111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5038 | NE | Primary |
Addresses
Primary practice location
102 E Wilson Ave
Norfolk, NE 68701-2969
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9479 | Other | NE | BCBS |
| F541 | Other | NE | MIDLANDS CHOICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070817000321 | NE | Part B Supplier - Ambulance Service Supplier | 9436241650 | Practice locations: Norfolk, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1070697 | Norfolk Ambulance Service | Certificate of waiver | Jul 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
102 E Wilson Ave
Norfolk, NE 68701
Phone (402) 371-2111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1265565006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E WILSON AVE",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012969",
"telephone_number": "402-371-2111",
"fax_number": "402-379-2845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORFOLK AMBULANCE SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "KUTCHERA",
"authorized_official_first_name": "ARDITH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "402-371-2111",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "5038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9479",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "F541",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.