NPIMap

Organization Active NPI

City of Syracuse

Doing business as Syracuse Rescue Service, Inc

  • Land Ambulance
  • Syracuse, NE
National Provider Identifier
1447456249
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1290 Issued in NE
Legal business name
CITY OF SYRACUSE
Doing business as
Syracuse Rescue Service, Inc
Practice address
578 Mohawk St
Syracuse, NE 68446-9313
Phone
(402) 269-2173
NPI assigned
Jun 27, 2007
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Timothy A Wilson
Title
Chief
Phone
(308) 440-5573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1290 NE Primary

Addresses

Primary practice location

578 Mohawk St
Syracuse, NE 68446-9313

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1447456249OtherNEBLUE CROSS PROVIDER NUMBER

Other names 1

  • SYRACUSE RESCUE SERVICE, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000887 NE Part B Supplier - Ambulance Service Supplier 1355411620 Practice locations: Syracuse, NE

National Provider Directory

National Provider Directory
Tax ID family
City of Syracuse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1447456249",
    "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",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MOHAWK ST",
            "city": "SYRACUSE",
            "state": "NE",
            "postal_code": "684469313",
            "telephone_number": "402-269-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SYRACUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "308-440-5573"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBER",
            "identifier": "1447456249",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYRACUSE RESCUE SERVICE, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SYRACUSE RESCUE SERVICE, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Syracuse, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.