City of North Platte

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5040 Issued in NE

Legal business name

CITY OF NORTH PLATTE

Practice address

715 S Jeffers St
North Platte, NE 69101-5318

Phone

(308) 535-6762

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Paul Pedersen

Title

Fire Chief

Phone

(308) 535-6761

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Platte Fire Department Ambulance 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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1265583892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 3RD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S JEFFERS ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015318",
            "telephone_number": "308-535-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORTH PLATTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "308-535-6761"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "09485",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Platte Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Marie Christen, PT
• Dustin Christensen, DPM
• Christian Companion Senior Care
• Stephanie Cissell
• Jason Michael Citta, M.D.
• Rochelle Clair
• Kylee Clark
• Wendy Clark
• Kelly Lynn Claudson
• Clear Focus Eyecare LLC

• Land Ambulance in North Platte, NE
• Providers in North Platte, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.