Active NPI
Dannebrog-Boelus Rescue Squad
- Land Ambulance
- Dannebrog, NE
National Provider Identifier
1649546326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1087
- Legal business name
- DANNEBROG-BOELUS RESCUE SQUAD
- Practice address
- 114 Oak St E
Dannebrog, NE 68831-3181 - Phone
- (308) 750-3317
- NPI assigned
- Mar 28, 2012
- 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
- Terry Webb
- Title
- EMS Chief
- Phone
- (308) 750-3317
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1087 | NE | Primary |
Addresses
Primary practice location
114 Oak St E
Dannebrog, NE 68831-3181
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853
Other names 1
- DANNEBROG/BOELUS RESCUE SQUAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120523000547 | NE | Part B Supplier - Ambulance Service Supplier | 7719140060 | Practice locations: Dannebrog, 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 |
|---|---|---|---|
| 28D2043078 | Dannebrog-Boelus Rescue Squad | Certificate of waiver | Jun 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1649546326",
"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": "531-895-5853",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 OAK ST E",
"city": "DANNEBROG",
"state": "NE",
"postal_code": "688313181",
"telephone_number": "308-750-3317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANNEBROG-BOELUS RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-28",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "308-750-3317"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "1087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DANNEBROG/BOELUS RESCUE SQUAD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dannebrog, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.