Active NPI
Culbertson Rescue Squad
- Land Ambulance
- Culbertson, NE
National Provider Identifier
1487616389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CULBERTSON RESCUE SQUAD
- Doing business as
- Culbertson Rescue Squad
- Practice address
- 311 Tate St
Culbertson, NE 69024-4009 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 22, 2010
- 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
- Mr. Roger P Kolbert
- Title
- President
- Phone
- (402) 572-4019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
311 Tate St
Culbertson, NE 69024-4009
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09412 | Other | NE | BCBS PROVIDER NUMBER |
| 590009995 | Other | NE | RR MEDICARE PROVIDER NO |
Other names 1
- CULBERTSON RESCUE SQUAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101118000631 | NE | Part B Supplier - Ambulance Service Supplier | 7113817735 | Practice locations: Culbertson, NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285113600000",
"number": "1487616389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641880",
"city": "OMAHA",
"state": "NE",
"postal_code": "681647880",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 TATE ST",
"city": "CULBERTSON",
"state": "NE",
"postal_code": "690244009",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CULBERTSON RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2010-09-22",
"status": "A",
"authorized_official_last_name": "KOLBERT",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-572-4019",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "09412",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER NO",
"identifier": "590009995",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CULBERTSON RESCUE SQUAD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Culbertson, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.