Waterloo Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5104 Issued in NE

Legal business name

WATERLOO FIRE DEPARTMENT

Doing business as

Waterloo Fire and Rescue

Practice address

4TH & North Front St
Waterloo, NE 68069

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Dec 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Bender

Title

Squad Captain

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WATERLOO FIRE AND RESCUE Doing business as

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265596183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4TH & NORTH FRONT ST",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "68069",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "SQUAD CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024983500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNE",
            "identifier": "09429",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATERLOO FIRE AND RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Simpson, APRN
• Paige Stanzel, PA
• Peggy Staup, RN
• Michelle Ann Tsatsos
• Waterloo Fire and Rescue
• Stephani Wesely
• Richard Lee Whitney
• Kayle A Wiseman, CTRS

• Land Ambulance in Waterloo, NE
• Providers in Waterloo, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.