Active NPI
County of Jefferson
- Ambulance
- Fairbury, NE
National Provider Identifier
1376594929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 5002
- Legal business name
- COUNTY OF JEFFERSON
- Practice address
- 606 3Rd St
Fairbury, NE 68352-2651 - Phone
- (402) 729-3304
- Fax
- (402) 729-3618
- NPI assigned
- May 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffrey Klaumann
- Title
- Director
- Phone
- (402) 729-3304
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 5002 | NE | Primary |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
606 3Rd St
Fairbury, NE 68352-2651
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060119000401 | NE | Part B Supplier - Ambulance Service Supplier | 1658395421 | Practice locations: Fairbury, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1005390 | Jefferson County Ambulance District #33 | Certificate of waiver | Oct 20, 2026 |
| 28D2150484 | Jefferson County Sheriff'S Office | Certificate of waiver | Jun 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
606 3rd St
#33
Fairbury, NE 68352
Phone (402) 729-3304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697068800000",
"number": "1376594929",
"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": "606 3RD ST",
"city": "FAIRBURY",
"state": "NE",
"postal_code": "683522651",
"telephone_number": "402-729-3304",
"fax_number": "402-729-3618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF JEFFERSON",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A",
"authorized_official_last_name": "KLAUMANN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "402-729-3304",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NE",
"license": "5002",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbury, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.