Village of Boys Town

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5058 Issued in NE

Legal business name

VILLAGE OF BOYS TOWN

Practice address

242 Monsky Dr
Boys Town, NE 68010-7550

Phone

(402) 498-3151

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Sara Larsen

Title

Fin. Officier

Phone

(531) 355-1040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1508100793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MONSKY DR",
            "city": "BOYS TOWN",
            "state": "NE",
            "postal_code": "680107550",
            "telephone_number": "402-498-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BOYS TOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "FIN. OFFICIER",
        "authorized_official_telephone_number": "531-355-1040"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Linn Turner, PSY.D.
• Nicole Urh, LMHP, PLP
• Nazira Usmanova
• Jon A Vanderhoof, MD
• Nancy L Vandersluis, M.D.
• Sierra Villanueva, PHD, LP
• Bradley David Vipond, PLMHP
• Nathaniel Paul Von Der Embse, PLMHP
• Megan Willes, PLMHP
• Kara Marie Wolff, APRN

• Land Ambulance in Boys Town, NE
• Providers in Boys Town, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.

Verify at the official NPI Registry.