Malcolm Rural Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1452 Issued in NE

Legal business name

MALCOLM RURAL FIRE PROTECTION DISTRICT

Doing business as

Malcolm Fire & Rescue

Practice address

150 W. 2ND St
Malcolm, NE 68402-0001

Phone

(402) 796-8430

NPI assigned

Dec 13, 2013

Last updated

Jun 16, 2023By 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

Melissa Wilcox

Title

Medical Officer

Phone

(402) 432-6035

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MALCOLM FIRE & RESCUE 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": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1366873572",
    "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": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W. 2ND ST",
            "city": "MALCOLM",
            "state": "NE",
            "postal_code": "684020001",
            "telephone_number": "402-796-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "402-432-6035"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264770-00",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "NA2496",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MALCOLM FIRE & RESCUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MALCOLM FIRE & RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andraya Mary Beth Binczik
• Ashley Renee Brugmann
• Jillian Crosgrove, RN
• Brenda Dirks
• Malcolm Public Schools
• Connie J Schultz
• Karlee Ann Seevers
• Breanna Slonecker

• Land Ambulance in Malcolm, NE
• Providers in Malcolm, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.