Active NPI
City of Newman Grove
Doing business as Newman Grove Fire and Rescue
- Land Ambulance
- Newman Grove, NE
National Provider Identifier
1407583115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2023
- 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
- Mary Potmesil
- Title
- Emt / Training Officer
- Phone
- (402) 741-1820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100274842-00 | Medicaid | NE |
Other names 1
- Newman Grove Fire and Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220921001928 | NE | Part B Supplier - Ambulance Service Supplier | 0840675229 | Practice locations: Newman Grove, 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 |
|---|---|---|---|
| 28D2054234 | Newman Grove Rescue | Certificate of waiver | Feb 14, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.