NPIMap

Organization Active NPI

City of Mitchell

  • Ambulance
  • Mitchell, NE
National Provider Identifier
1669449781
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
5036 Issued in NE
Legal business name
CITY OF MITCHELL
Practice address
1145 Center Ave
Mitchell, NE 69357-1442
Phone
(308) 623-1523
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Shawn Baumgartner, NREMT-P
Title
Billing Agent
Phone
(308) 635-0511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 5036 NE Primary

Addresses

Primary practice location

1145 Center Ave
Mitchell, NE 69357-1442

Mailing address

422 S Beltline Hwy E
Scottsbluff, NE 69361-3501
Phone (308) 635-0511

Other identifiers 1

IdentifierTypeStateIssuer
39410OtherNEBCBS PROVIDER #

Other names 1

  • Mitchell Vol Fire Dept Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000667 NE Part B Supplier - Ambulance Service Supplier 6103085873 Practice locations: Mitchell, NE

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of Mitchell2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1145 Center Ave
#F
Mitchell, NE 69357
Phone (308) 623-1523

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Mitchell Care CenterMitchell, NE, CCN 285287 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 4, 1992

Owned or controlled facilities with NPI records 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669449781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 S BELTLINE HWY E",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693613501",
            "telephone_number": "308-635-0511",
            "fax_number": "308-635-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 CENTER AVE",
            "city": "MITCHELL",
            "state": "NE",
            "postal_code": "693571442",
            "telephone_number": "308-623-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MITCHELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUMGARTNER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "308-635-0511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "5036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "39410",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mitchell Vol Fire Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mitchell, NE

Sources for this page

Verify at the official NPI Registry.