Niobrara Rural Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1207 Issued in NE

Legal business name

NIOBRARA RURAL FIRE DISTRICT

Doing business as

Niobrara Vol. Rescue Unit

Practice address

259 Spruce Ave
Niobrara, NE 68760-6102

Phone

(402) 572-4019

Fax

(402) 991-0719

NPI assigned

Aug 13, 2006

Last updated

Mar 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon Scott

Title

Captain

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NIOBRARA VOL. RESCUE UNIT Doing business as

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

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1568475622",
    "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": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SPRUCE AVE",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687606102",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIOBRARA RURAL FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC PROVIDER NO",
            "identifier": "39452",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "590014631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIOBRARA VOL. RESCUE UNIT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Mertens, PARAMEDIC
• Dava Lynn Mier, RN
• Chanda Mueller
• Tamara Nelson, RN
• Niobrara Public Schools
• Colleen Carol Novak
• Mikaela Obrien, RN
• Amy Pinkelman, RN
• Stephani Sue Reinhardt, RN
• Teresa Remick, MSW, CSW, LMHP

• Land Ambulance in Niobrara, NE
• Providers in Niobrara, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.