Brown County Ambulance Service
Organization Active NPI Land Ambulance · Ainsworth, NE
NPI 1508056151 · NPPES record last updated Dec 6, 2023
Key facts
- NPI
- 1508056151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1041 (NE)
- Legal business name
- BROWN COUNTY AMBULANCE SERVICE
- Practice address
- 142 W 4TH St
Ainsworth, NE 69210-1636 - Phone
- (402) 387-1440
- Fax
- (402) 387-0719
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Ann F. Fiala
- Title
- President
- Phone
- (402) 760-2580
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081017000178 | NE | Part B Supplier - Ambulance Service Supplier | 1456419613 | Practice locations: Ainsworth, NE |
National Provider Directory
Locations
142 W 4th St
Ainsworth, NE 69210
Phone (402) 387-1440
319 N Walnut St
Ainsworth, NE 69210
Phone (402) 387-1440
126 E 3rd St
Ainsworth, NE 69210
Phone (402) 387-1440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1041 | NE | Yes |
Addresses
Primary practice location
142 W 4TH St
Ainsworth, NE 69210-1636
Mailing address
142 W 4TH St
Ainsworth, NE 69210-1698
Phone (402) 387-1440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091799 | Other | NE | PROVIDER NUMBER FOR MEDIC |
| 10025690100 | Medicaid | NE |
Other providers in Ainsworth, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2023. 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.