Organization Active NPI

Valley Rural Fire Protection Dist 5

  • Land Ambulance
  • Valley, NE
National Provider Identifier
1295877272
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1307 Issued in NE
Legal business name
VALLEY RURAL FIRE PROTECTION DIST 5
Practice address
210 West Church St
Valley, NE 68064-0554
Phone
(402) 572-4019
Fax
(402) 991-0719
NPI assigned
Feb 13, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Vince Sunde
Title
Assistant Chief
Phone
(402) 619-6577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000398 NE Part B Supplier - Ambulance Service Supplier 0648453084 Practice locations: Valley, NE

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1307 NE Primary

Addresses

NPPES NPI Registry

Primary practice location

210 West Church St
Valley, NE 68064-0554

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
P00106999OtherRR MEDICARE PROVIDER NO
09313OtherNEBLUE CROSS PROVIDER NO

Other names 1

NPPES NPI Registry
  • VALLEY FIRE PROTECTION DIST #5 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2023.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1295877272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WEST CHURCH ST",
            "city": "VALLEY",
            "state": "NE",
            "postal_code": "680640554",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RURAL FIRE PROTECTION DIST 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SUNDE",
        "authorized_official_first_name": "VINCE",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "402-619-6577"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER NO",
            "identifier": "P00106999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "09313",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY FIRE PROTECTION DIST #5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALLEY FIRE PROTECTION DIST #5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.