Organization Active NPI

Crofton Volunteer Ambulance

  • Ambulance
  • Crofton, NE
National Provider Identifier
1609869304
Registry record updated Jun 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CROFTON VOLUNTEER AMBULANCE
Practice address
204 W Wyoming St
Crofton, NE 68730-3200
Phone
(402) 388-4110
Fax
(402) 388-4579
NPI assigned
Aug 26, 2005
Last updated
Jun 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2009

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

Authorized official

Name
Ms. Barbara A Zavadil
Title
Bookkeeper
Phone
(402) 388-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

204 W Wyoming St
Crofton, NE 68730-3200

Mailing address

204 W Wyoming St
Crofton, NE 68730-3200
Phone (402) 388-4110

Other identifiers 1

IdentifierTypeStateIssuer
47600615500MedicaidNE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245369600000",
    "number": "1609869304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W WYOMING ST",
            "city": "CROFTON",
            "state": "NE",
            "postal_code": "687303200",
            "telephone_number": "402-388-4110",
            "fax_number": "402-388-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W WYOMING ST",
            "city": "CROFTON",
            "state": "NE",
            "postal_code": "687303200",
            "telephone_number": "402-388-4110",
            "fax_number": "402-388-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROFTON VOLUNTEER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-06-19",
        "status": "A",
        "authorized_official_last_name": "ZAVADIL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "402-388-4110",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47600615500",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2009; 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.