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
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1053157 | Trenton Rescue Squad | Certificate of waiver | Apr 13, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590006109 | Other | RR MEDICARE PROVIDER NO | |
| 09386 | Other | NE | BLUE CROSS PROVIDER |
Other names
- TRENTON RESCUE SQUAD
Other providers in Trenton, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.