Organization Active NPI

Axtell Rural Fire Department No 4

Doing business as Axtell Vol. Fire and Rescue Dept.

  • Land Ambulance
  • Axtell, NE
National Provider Identifier
1629155403
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1019 Issued in NE
Legal business name
AXTELL RURAL FIRE DEPARTMENT NO 4
Doing business as
Axtell Vol. Fire and Rescue Dept.
Practice address
202 E 6TH St
Axtell, NE 68924-3419
Phone
(402) 572-4019
Fax
(402) 991-0719
NPI assigned
Nov 1, 2006
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
John Jeffrey England
Title
Chief
Phone
(877) 218-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1019 NE Primary

Addresses

Primary practice location

202 E 6TH St
Axtell, NE 68924-3419

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other identifiers 2

IdentifierTypeStateIssuer
47600608600MedicaidNE
39416OtherNEBLUE CROSS PROVIDER NO

Other names 1

  • AXTELL VOL. FIRE AND RESCUE DEPT. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000570 NE Part B Supplier - Ambulance Service Supplier 8224214895 Practice locations: Axtell, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0987690Axtell Volunteer Fire & Rescue Dept202 East 6TH Street, Axtell, NE 68924Certificate of waiverJun 11, 2027

National Provider Directory

National Provider Directory

Locations

202 E 6th St
Axtell, NE 68924
Phone (308) 743-2601

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1629155403",
    "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": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E 6TH ST",
            "city": "AXTELL",
            "state": "NE",
            "postal_code": "689243419",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXTELL RURAL FIRE DEPARTMENT NO 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "877-218-4392"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47600608600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "39416",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AXTELL VOL. FIRE AND RESCUE DEPT.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Axtell, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.