Active NPI
Litchfield RFD Ambulance
- Land Ambulance
- Litchfield, NE
National Provider Identifier
1295863900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1174
- Legal business name
- LITCHFIELD RFD AMBULANCE
- Practice address
- 221 N Main Street
Litchfield, NE 68852-0003 - Phone
- (308) 446-2302
- NPI assigned
- Mar 2, 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
- Alyssa D Reynolds
- Title
- Ambulance Captain
- Phone
- (308) 446-2302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1174 | NE | Primary |
Addresses
Primary practice location
221 N Main Street
Litchfield, NE 68852-0003
Mailing address
PO Box 3
Litchfield, NE 68852-0003
Phone (308) 446-2302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025339900 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040228000359 | NE | Part B Supplier - Ambulance Service Supplier | 8123915709 | Practice locations: Litchfield, 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 |
|---|---|---|---|
| 28D2090946 | Litchfield Ambulance | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701907200000",
"number": "1295863900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "LITCHFIELD",
"state": "NE",
"postal_code": "688520003",
"telephone_number": "308-446-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 N MAIN STREET",
"city": "LITCHFIELD",
"state": "NE",
"postal_code": "688520003",
"telephone_number": "308-446-2302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LITCHFIELD RFD AMBULANCE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "ALYSSA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "AMBULANCE CAPTAIN",
"authorized_official_telephone_number": "308-446-2302"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "1174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025339900",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Litchfield, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.