City of Crawford

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF CRAWFORD

Doing business as

Crawford Vol Fire Dept

Practice address

220 Elm St
Crawford, NE 69339-1004

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Apr 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William L Gartner

Title

Fire Chief

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CRAWFORD VOL FIRE DEPT Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• City of Crawford

  dba Ponderosa Villa

  • Skilled Nursing Facility
  • Crawford, NE
  • NPI 1922033273

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• City of Crawford

  dba Ponderosa Villa

  • Skilled Nursing Facility
  • Crawford, NE
  • NPI 1922033273

  Adp of the SNF, Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659335362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ELM ST",
            "city": "CRAWFORD",
            "state": "NE",
            "postal_code": "693391004",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CRAWFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "402-572-4019"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47062853200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "09258",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRAWFORD VOL FIRE DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 3D RX, Inc
• Isiah Bruns
• Ashley Burrous
• Ranae Calder
• Chadron Community Hospital Corp.
• City of Crawford (Ponderosa Villa)
• City of Crawford (Ponderosa Villa)
• Counseling by Christina, LLC
• County of Dawes School District 71 (Crawford Public Schools)
• Kelsee Cover

• Land Ambulance in Crawford, NE
• Providers in Crawford, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.