Organization Active NPI

City of Sutton

  • Ambulance
  • Sutton, NE
National Provider Identifier
1285899609
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
091785 Issued in NE
Legal business name
CITY OF SUTTON
Practice address
107 W Grove St
Sutton, NE 68979-0430
Phone
(402) 773-5607
Fax
(402) 773-5501
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Mrs. Lana K Ebert
Title
Ubclerk
Phone
(402) 773-5607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 091785 NE Primary

Addresses

Primary practice location

107 W Grove St
Sutton, NE 68979-0430

Mailing address

107 W Grove St
PO Box 430
Sutton, NE 68979-0430
Phone (402) 773-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000054 NE Part B Supplier - Ambulance Service Supplier 7810154572 Practice locations: Sutton, NE

National Provider Directory

National Provider Directory

Locations

107 E Forrest St
Sutton, NE 68979
Phone (402) 773-4225

107 W Grove St
Sutton, NE 68979
Phone (402) 773-5607

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1285899609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W GROVE ST",
            "address_2": "PO BOX 430",
            "city": "SUTTON",
            "state": "NE",
            "postal_code": "689790430",
            "telephone_number": "402-773-5607",
            "fax_number": "402-773-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W GROVE ST",
            "city": "SUTTON",
            "state": "NE",
            "postal_code": "689790430",
            "telephone_number": "402-773-5607",
            "fax_number": "402-773-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SUTTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "EBERT",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "UBCLERK",
        "authorized_official_telephone_number": "402-773-5607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "091785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.