Organization Active NPI

County of Jefferson

  • Ambulance
  • Fairbury, NE
National Provider Identifier
1376594929
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5002 Issued in NE
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

Updated by the provider on Oct 12, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20060119000401 NE Part B Supplier - Ambulance Service Supplier 1658395421 Practice locations: Fairbury, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1005390Jefferson County Ambulance District #33606 3Rd Street, Fairbury, NE 68352Certificate of waiverOct 20, 2026
28D2150484Jefferson County Sheriff'S Office606 3Rd Street, Suite #3, Fairbury, NE 68352Certificate of waiverJun 25, 2028

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.