Active NPI
Callaway Volunteer Fire & Rescue Department
- Land Ambulance
- Callaway, NE
National Provider Identifier
1477558625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1048
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47066364700 | Medicaid | NE | |
| 09394 | Other | NE | BLUECROSS |
Other names 1
- CALLAWAY RFD AMBULANCE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180827003243 | NE | Part B Supplier - Ambulance Service Supplier | 2365791183 | Practice locations: Callaway, 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 |
|---|---|---|---|
| 28D0989512 | Callaway Volunteer Fire & Rescue Department | Certificate of waiver | Jul 26, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.