Loup City, Ashton & Rockville Cooperative Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1178 Issued in NE

Legal business name

LOUP CITY, ASHTON & ROCKVILLE COOPERATIVE AMBULANCE SERVICE

Doing business as

Loup City Coop Ambulance

Practice address

940 P St
Loup City, NE 68853-8006

Phone

(308) 745-0338

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tjade Rodocker

Title

Asst. Captain

Phone

(308) 645-7209

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Loup City Coop Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1346466620",
    "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": "940 P ST",
            "city": "LOUP CITY",
            "state": "NE",
            "postal_code": "688538006",
            "telephone_number": "308-745-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUP CITY, ASHTON & ROCKVILLE COOPERATIVE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "RODOCKER",
        "authorized_official_first_name": "TJADE",
        "authorized_official_title_or_position": "ASST. CAPTAIN",
        "authorized_official_telephone_number": "308-645-7209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1017",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09378",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loup City Coop Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Jaixen
• Heidi Krolikowski, M.S.
• Samantha Kay Kusek, RN
• Loup City Health Care Inc (Rose Lane Home)
• Loup City RX Shoppe Inc (Loup City Rx Shoppe)
• Jared Michael Manhold
• Lacie McGee
• Micheal Miles Pop, L.M.H.P.
• Roger C. MC Cartney, O.D.,and Brandon a. Blair, O.D.,P.C. (Professional Eyecare)
• Jessica Lynn Rozmiarek, RN

• Land Ambulance in Loup City, NE
• Providers in Loup City, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.

Verify at the official NPI Registry.