Active NPI
Atkinson Rural Fire Protection District
- Land Ambulance
- Atkinson, NE
National Provider Identifier
1396814729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 90
- Legal business name
- ATKINSON RURAL FIRE PROTECTION DISTRICT
- Practice address
- 512 East Pearl Street
Atkinson, NE 68713-0639 - Phone
- (402) 340-3854
- NPI assigned
- Nov 7, 2006
- Last updated
- Sep 28, 2022
- 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
- Sandra J Schrunk
- Title
- Secretary
- Phone
- (402) 340-3854
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 90 | NE | Primary |
Addresses
Primary practice location
512 East Pearl Street
Atkinson, NE 68713-0639
Mailing address
PO Box 639
Atkinson, NE 68713-0639
Phone (402) 340-3854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39420 | Other | NE | BLUE CROSS BLUE SHIELD |
Other names 1
- Atkinson Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120509000688 | NE | Part B Supplier - Ambulance Service Supplier | 8820250749 | Practice locations: Atkinson, 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 |
|---|---|---|---|
| 28D0984840 | Atkinson Rural Fire Protection District D/B/a | Certificate of waiver | Mar 29, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1396814729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "ATKINSON",
"state": "NE",
"postal_code": "687130639",
"telephone_number": "402-340-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 EAST PEARL STREET",
"city": "ATKINSON",
"state": "NE",
"postal_code": "687130639",
"telephone_number": "402-340-3854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATKINSON RURAL FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A",
"authorized_official_last_name": "SCHRUNK",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "402-340-3854"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "90",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39420",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atkinson Ambulance Service",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Atkinson Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Atkinson, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.