Humphrey Volunteer Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1158 Issued in NE

Legal business name

HUMPHREY VOLUNTEER FIRE DEPARTMENT

Doing business as

Humphrey Vol. Fire and Rescue

Practice address

305 N 3Rd St
Humphrey, NE 68642-3135

Phone

(402) 923-0905

Fax

(402) 923-9023

NPI assigned

May 16, 2006

Last updated

Feb 7, 2023By 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

Jim Wiehn

Title

Rescue Captain

Phone

(402) 923-0905

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Humphrey Vol. Fire and Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1417909607",
    "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": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 3RD ST",
            "city": "HUMPHREY",
            "state": "NE",
            "postal_code": "686423135",
            "telephone_number": "402-923-0905",
            "fax_number": "402-923-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMPHREY VOLUNTEER FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "WIEHN",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-923-0905"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF NEBRASKA",
            "identifier": "09265",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025233200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "F246867",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humphrey Vol. Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Humphrey Vol. Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Gronenthal
• Terri Groteluschen
• Jenna Hesse
• Humphrey Chiropractic
• Humphrey Public School
• Jonathon Russell Korth
• Kaitlynn Renee Morgan
• Heather Olsen
• Makayla Prothman, OT
• Saint Francis Little Saints Daycare

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.