Village of Western
Organization Active NPI Land Ambulance · Western, NE
NPI 1487746657 · NPPES record last updated Jul 18, 2008
Key facts
- NPI
- 1487746657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VILLAGE OF WESTERN
- Practice address
- 107 N. West Avenue
Western, NE 68464-0446 - Phone
- (402) 433-4551
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Rodney R. Nickel
- Title
- Captain
- Phone
- (402) 433-4551
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120208000624 | NE | Part B Supplier - Ambulance Service Supplier | 7416114129 | Practice locations: Western, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
107 N. West Avenue
Western, NE 68464-0446
Mailing address
P.O. Box 446
107 N. West Avenue
Western, NE 68464-0446
Phone (402) 433-4551
Other names
- Western Volunteer Fire Dept. Rescue Unit
Other providers in Western, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.