Organization Active NPI

Fairfield Rural Fire Protection District

Doing business as Fairfield Vol. Fire Dept.

  • Land Ambulance
  • Fairfield, NE
National Provider Identifier
1508017583
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1114 Issued in NE
Legal business name
FAIRFIELD RURAL FIRE PROTECTION DISTRICT
Doing business as
Fairfield Vol. Fire Dept.
Practice address
504 North D Street
Fairfield, NE 68938
Phone
(402) 572-4019
Fax
(402) 965-8594
NPI assigned
Oct 8, 2008
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Sandra Nejezehleb
Title
Rescue Captain
Phone
(402) 572-4019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1114 NE Primary

Addresses

Primary practice location

504 North D Street
Fairfield, NE 68938

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other identifiers 1

IdentifierTypeStateIssuer
10025715200MedicaidNE

Other names 1

  • FAIRFIELD VOL. FIRE DEPT. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1508017583",
    "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": "504 NORTH D STREET",
            "city": "FAIRFIELD",
            "state": "NE",
            "postal_code": "68938",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "NEJEZEHLEB",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "RESCUE CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025715200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAIRFIELD VOL. FIRE DEPT.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.