Active NPI
Valley Rural Fire Protection Dist 5
- Land Ambulance
- Valley, NE
National Provider Identifier
1295877272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1307
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110323000398 | NE | Part B Supplier - Ambulance Service Supplier | 0648453084 | Practice locations: Valley, NE |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1307 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00106999 | Other | RR MEDICARE PROVIDER NO | |
| 09313 | Other | NE | BLUE CROSS PROVIDER NO |
Other names 1
NPPES NPI Registry- VALLEY FIRE PROTECTION DIST #5
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.