Organization Active NPI

Callaway Volunteer Fire & Rescue Department

  • Land Ambulance
  • Callaway, NE
National Provider Identifier
1477558625
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1048 Issued in NE
Legal business name
CALLAWAY VOLUNTEER FIRE & RESCUE DEPARTMENT
Practice address
112 E Kimball St
Callaway, NE 68825-2599
Phone
(308) 836-2898
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Jon Brohman
Title
Secretary/Treasurer
Phone
(402) 304-4954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1048 NE Primary

Addresses

Primary practice location

112 E Kimball St
Callaway, NE 68825-2599

Mailing address

403 Chatham Ave
Berwyn, NE 68814-2723
Phone (308) 935-1569

Other identifiers 2

IdentifierTypeStateIssuer
47066364700MedicaidNE
09394OtherNEBLUECROSS

Other names 1

  • CALLAWAY RFD AMBULANCE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180827003243 NE Part B Supplier - Ambulance Service Supplier 2365791183 Practice locations: Callaway, 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
28D0989512Callaway Volunteer Fire & Rescue Department112 E Kimball Street, Callaway, NE 68825Certificate of waiverJul 26, 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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1477558625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 CHATHAM AVE",
            "city": "BERWYN",
            "state": "NE",
            "postal_code": "688142723",
            "telephone_number": "308-935-1569",
            "fax_number": "308-935-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E KIMBALL ST",
            "city": "CALLAWAY",
            "state": "NE",
            "postal_code": "688252599",
            "telephone_number": "308-836-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLAWAY VOLUNTEER FIRE & RESCUE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "BROHMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "402-304-4954"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47066364700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "09394",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CALLAWAY RFD AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CALLAWAY RFD AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Callaway, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.