Active NPI
City of Tilden
Doing business as Tilden Rescue Squad
- Land Ambulance
- Tilden, NE
National Provider Identifier
1699814541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 86
- Legal business name
- CITY OF TILDEN
- Doing business as
- Tilden Rescue Squad
- Practice address
- 101 So. Center St.
Tilden, NE 68781 - Phone
- (402) 572-4019
- Fax
- (402) 956-8594
- NPI assigned
- Feb 6, 2007
- Last updated
- Nov 14, 2025
- 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
- Mrs. Shawna Moore
- Title
- City Clerk
- Phone
- (402) 368-2232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 86 | NE | Primary |
Addresses
Primary practice location
101 So. Center St.
Tilden, NE 68781
Mailing address
PO Box 37
Tilden, NE 68781-0037
Phone (402) 572-4019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09357 | Other | NE | BLUE CROSS BLUE SHIELD |
Other names 1
- TILDEN 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 |
|---|---|---|---|---|
| O20070301000293 | NE | Part B Supplier - Ambulance Service Supplier | 9133123482 | Practice locations: Tilden, NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763078400000",
"number": "1699814541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37",
"city": "TILDEN",
"state": "NE",
"postal_code": "687810037",
"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": "101 SO. CENTER ST.",
"city": "TILDEN",
"state": "NE",
"postal_code": "68781",
"telephone_number": "402-572-4019",
"fax_number": "402-956-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF TILDEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2025-11-14",
"certification_date": "2025-11-14",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "SHAWNA",
"authorized_official_title_or_position": "CITY CLERK",
"authorized_official_telephone_number": "402-368-2232",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "86",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09357",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TILDEN RESCUE SQUAD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tilden, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.