City of Creighton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1080 Issued in NE

Legal business name

CITY OF CREIGHTON

Doing business as

Creighton Ambulance Service

Practice address

1503 Main St
Creighton, NE 68729-0188

Phone

(402) 572-4019

NPI assigned

Jan 4, 2007

Last updated

Jul 15, 2008By 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

Ms. Sue E Rohrer

Title

Billing Leader

Phone

(402) 571-4019

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Creighton Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1376690453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 STATE ST",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687290188",
            "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": "1503 MAIN ST",
            "city": "CREIGHTON",
            "state": "NE",
            "postal_code": "687290188",
            "telephone_number": "402-572-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CREIGHTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "ROHRER",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING LEADER",
        "authorized_official_telephone_number": "402-571-4019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "09399",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creighton Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Therese Brady, R.P.
• William John Brady, R.P.
• Cassidy Brindisi
• Christopher Burrell, FNP-C
• Melissa Carman
• Creighton 59 LLC (59 Express)
• Creighton Area Health Services
• Creighton Area Health Services (Creighton Area Health Services Professional Services)
• Creighton Area Health Services (Creighton Care Centre)
• Creighton Area Health Services (Creighton Area Health Services Home Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.