City of Blair

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5009 Issued in NE

Legal business name

CITY OF BLAIR

Practice address

218 S 16TH St
Blair, NE 68008-2010

Phone

(402) 426-4262

Fax

(402) 965-8594

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Tyrel Hernes

Title

Captain of EMS

Phone

(402) 278-0606

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BLAIR RESCUE SQUAD Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1679717482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680080402",
            "telephone_number": "402-426-4262",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S 16TH ST",
            "city": "BLAIR",
            "state": "NE",
            "postal_code": "680082010",
            "telephone_number": "402-426-4262",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BLAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "HERNES",
        "authorized_official_first_name": "TYREL",
        "authorized_official_title_or_position": "CAPTAIN OF EMS",
        "authorized_official_telephone_number": "402-278-0606"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "5009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025742500",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "290004",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID-IA",
            "identifier": "1679717482",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLAIR RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Chesson
• CHMP LLC
• Dalton Marshall Chmura, SLP
• Jean E Christenson, MS RD CDE
• Mark P Christiansen, PAC
• Chase Christian Clausen, PHARMD
• Kiara Clausen
• Hallemay Coenen
• Faye Coles Jones, DC
• Comprehensive Dental Care of Blair, PC

• All providers in Blair, NE
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.