Active NPI
Elm Creek Rural Fire Protection District No 7
Doing business as Elm Creek Volunteer Fire & Rescue Department
- Land Ambulance
- Elm Creek, NE
National Provider Identifier
1639453947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1106
- Legal business name
- ELM CREEK RURAL FIRE PROTECTION DISTRICT NO 7
- Doing business as
- Elm Creek Volunteer Fire & Rescue Department
- Practice address
- 535 W Boyd Ave
Elm Creek, NE 68836-1563 - Phone
- (402) 572-4019
- NPI assigned
- Oct 5, 2011
- Last updated
- Mar 19, 2024
- 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
- Carol Jorgensen
- Title
- Captain
- Phone
- (308) 440-3133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1106 | NE | Primary |
Addresses
Primary practice location
535 W Boyd Ave
Elm Creek, NE 68836-1563
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other names 1
- ELM CREEK VOLUNTEER FIRE & RESCUE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120112000347 | NE | Part B Supplier - Ambulance Service Supplier | 2567639651 | Practice locations: Elm Creek, 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 |
|---|---|---|---|
| 28D1078311 | Elm Creek Volunteer Fire & Rescue Dept | Certificate of waiver | Jan 6, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1639453947",
"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": "535 W BOYD AVE",
"city": "ELM CREEK",
"state": "NE",
"postal_code": "688361563",
"telephone_number": "402-572-4019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELM CREEK RURAL FIRE PROTECTION DISTRICT NO 7",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "JORGENSEN",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "308-440-3133"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "1106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELM CREEK VOLUNTEER FIRE & RESCUE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elm Creek, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.