Dwight Volunteer Fire Dept – Land Ambulance

Key facts

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA number	Laboratory	Certificate	Expires
28D2147274	Dwight Volunteer Fire and Rescue Dept 198 N 1St Street, Dwight, NE 68635	Certificate of waiver	Apr 16, 2028

Enrollment ID	State	Provider type	PAC ID	Details
O20040611001137	NE	Part B Supplier - Ambulance Service Supplier	4587647219	Practice locations: Dwight, NE

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	1100	NE	Yes

198 N 1St
Dwight, NE 68635-9998

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 991-7866

Identifier	Type	State	Issuer
10025240901	Medicaid	NE

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

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