Active NPI
City of Wakefield
Doing business as Wakefield Rescue Unit
- Land Ambulance
- Wakefield, NE
National Provider Identifier
1598848558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF WAKEFIELD
- Doing business as
- Wakefield Rescue Unit
- Practice address
- 405 Main St
Wakefield, NE 68784-6025 - Phone
- (402) 287-2953
- NPI assigned
- Oct 23, 2006
- Last updated
- Jul 16, 2019
- Organization subpart
- Yes
- Parent organization
- CITY OF WAKEFIELD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tereaa L Soderberg
- Title
- Rescue Capt
- Phone
- (402) 369-1526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
405 Main St
Wakefield, NE 68784-6025
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4760640100 | Medicaid | NE | |
| 9495 | Other | NE | BC/BS OF NEBRASKA |
Other names 1
- Wakefield Rescue Unit
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120315000487 | NE | Part B Supplier - Ambulance Service Supplier | 8628237377 | Practice locations: Wakefield, NE |
National Provider Directory
National Provider Directory- Part of
- City of Wakefield
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563235200000",
"number": "1598848558",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MAIN ST",
"city": "WAKEFIELD",
"state": "NE",
"postal_code": "687846025",
"telephone_number": "402-287-2953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WAKEFIELD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF WAKEFIELD",
"enumeration_date": "2006-10-23",
"last_updated": "2019-07-16",
"status": "A",
"authorized_official_last_name": "SODERBERG",
"authorized_official_first_name": "TEREAA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "RESCUE CAPT",
"authorized_official_telephone_number": "402-369-1526",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4760640100",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NEBRASKA",
"identifier": "9495",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wakefield Rescue Unit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Wakefield Rescue Unit",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wakefield, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.