City of Saint Paul

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1278 Issued in NE

Legal business name

CITY OF SAINT PAUL

Doing business as

St Paul Rescue Service

Practice address

704 6TH St
Saint Paul, NE 68873-2015

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Aug 22, 2006

Last updated

Jan 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Mayberry

Title

Rescue Clerk

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ST PAUL RESCUE SERVICE Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1356457212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 6TH ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688732015",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SAINT PAUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MAYBERRY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "RESCUE CLERK",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "1278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "09431",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "P00101979",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST PAUL RESCUE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krista C Bauder
• Benson Family Dentistry, LLC (Saint Paul Dental)
• Patricia Ann Berggren
• Brehm Rexall Drug Inc
• Angela Sue Brennan, MD
• Katherine Donahoo, LIMHP, LPC, PLADC
• Erica Eberle, PA-C
• Family Chiropractic Center of St. Paul, P.C.
• Family Eyecare Center,PC
• Family First Dental Associates of West Point, P.C. (Family 1st Dental of St. Paul - 1)

• Ambulance in Saint Paul, NE
• Providers in Saint Paul, NE by specialty
• Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.