Village of Trenton

Organization Active NPI Land Ambulance · Trenton, NE

NPI 1700928884 · NPPES record last updated Mar 24, 2011

Key facts

NPI
1700928884
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
1300 (NE)
Legal business name
VILLAGE OF TRENTON
Practice address
333 Main St
Trenton, NE 69044-1701
Phone
(308) 340-5250
Fax
(402) 965-8594
NPI assigned
Feb 13, 2007
Organization subpart
No

Authorized official

Name
Judy McDonald
Title
President
Phone
(402) 572-4019

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D1053157Trenton Rescue Squad
333 Main Street, Trenton, NE 69044
Certificate of waiverApr 13, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110613000718 NE Part B Supplier - Ambulance Service Supplier 4789861097 Practice locations: Trenton, NE

National Provider Directory

Locations

333 Main St
Trenton, NE 69044
Phone (308) 334-5488

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1300 NE Yes

Addresses

Primary practice location

333 Main St
Trenton, NE 69044-1701

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other identifiers

IdentifierTypeStateIssuer
590006109OtherRR MEDICARE PROVIDER NO
09386OtherNEBLUE CROSS PROVIDER

Other names

  • TRENTON RESCUE SQUAD Doing business as

Other providers in Trenton, NE

All providers in Trenton, NE · Land Ambulance in Nebraska

Sources for this page

Verify at the official NPI Registry.