Organization Active NPI

City of Clay Center

Doing business as Clay Center Volunteer Ambulance

  • Ambulance
  • Clay Center, NE
National Provider Identifier
1336379395
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF CLAY CENTER
Doing business as
Clay Center Volunteer Ambulance
Practice address
123 S. Edgar St.
Clay Center, NE 68933
Phone
(402) 572-4019
Fax
(402) 572-4019
NPI assigned
Jul 23, 2009
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Mrs. Mitzi L. Messinger
Title
Clay Center City Clerk/Treas.
Phone
(402) 762-3356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

123 S. Edgar St.
Clay Center, NE 68933

Mailing address

123 S Edgar St
Clay Center, NE 68933
Phone (402) 572-4019

Other names 1

  • Clay Center Volunteer Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000405 NE Part B Supplier - Ambulance Service Supplier 4981889482 Practice locations: Clay Center, NE

National Provider Directory

National Provider Directory

Locations

101 S Martin Ave
Clay Center, NE 68933
Phone (402) 469-2593

123 W Edgar St
Clay Center, NE 68933
Phone (402) 469-7262

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1336379395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S EDGAR ST",
            "city": "CLAY CENTER",
            "state": "NE",
            "postal_code": "68933",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S. EDGAR ST.",
            "city": "CLAY CENTER",
            "state": "NE",
            "postal_code": "68933",
            "telephone_number": "402-572-4019",
            "fax_number": "402-572-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CLAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "MESSINGER",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLAY CENTER CITY CLERK/TREAS.",
        "authorized_official_telephone_number": "402-762-3356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Center Volunteer Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clay Center, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.