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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1019
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47600608600 | Medicaid | NE | |
| 39416 | Other | NE | BLUE CROSS PROVIDER NO |
Other names 1
- AXTELL VOL. FIRE AND RESCUE DEPT.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110516000570 | NE | Part B Supplier - Ambulance Service Supplier | 8224214895 | Practice locations: Axtell, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0987690 | Axtell Volunteer Fire & Rescue Dept | Certificate of waiver | Jun 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.