Organization Active NPI

Atkinson Rural Fire Protection District

  • Land Ambulance
  • Atkinson, NE
National Provider Identifier
1396814729
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
90 Issued in NE
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
39420OtherNEBLUE CROSS BLUE SHIELD

Other names 1

  • Atkinson Ambulance Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000688 NE Part B Supplier - Ambulance Service Supplier 8820250749 Practice locations: Atkinson, 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
28D0984840Atkinson Rural Fire Protection District D/B/a512 E Pearl Street, Atkinson, NE 68713Certificate of waiverMar 29, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.