Organization Active NPI

City of Newman Grove

Doing business as Newman Grove Fire and Rescue

  • Land Ambulance
  • Newman Grove, NE
National Provider Identifier
1407583115
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF NEWMAN GROVE
Doing business as
Newman Grove Fire and Rescue
Practice address
200 S 8TH St.
Newman Grove, NE 68758-5026
Phone
(402) 741-1820
NPI assigned
Aug 3, 2022
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Potmesil
Title
Emt / Training Officer
Phone
(402) 741-1820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

200 S 8TH St.
Newman Grove, NE 68758-5026

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853

Other identifiers 1

IdentifierTypeStateIssuer
100274842-00MedicaidNE

Other names 1

  • Newman Grove Fire and Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921001928 NE Part B Supplier - Ambulance Service Supplier 0840675229 Practice locations: Newman Grove, 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
28D2054234Newman Grove Rescue200 South 8TH Street, Newman Grove, NE 68758Certificate of waiverFeb 14, 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": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1407583115",
    "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": "531-895-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 8TH ST.",
            "city": "NEWMAN GROVE",
            "state": "NE",
            "postal_code": "687585026",
            "telephone_number": "402-741-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEWMAN GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "POTMESIL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EMT / TRAINING OFFICER",
        "authorized_official_telephone_number": "402-741-1820"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100274842-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newman Grove Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Newman Grove Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newman Grove, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.