Active NPI
City of Ogallala
- Land Ambulance
- Ogallala, NE
National Provider Identifier
1780737205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5041
- Legal business name
- CITY OF OGALLALA
- Practice address
- 409 East 2ND St
Ogallala, NE 69153 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Jan 19, 2007
- 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
- Jane M Skinner
- Title
- City Clerk Treasure
- Phone
- (308) 284-3607
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5041 | NE | Primary |
Addresses
Primary practice location
409 East 2ND St
Ogallala, NE 69153
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590042213 | Other | NE | RR MEDICARE |
| 09405 | Other | NE | BLUE CROSS |
Other names 1
- OGALLALA VOL. FIRE DEPT.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110525000611 | NE | Part B Supplier - Ambulance Service Supplier | 5597941658 | Practice locations: Ogallala, NE |
National Provider Directory
National Provider DirectoryLocations
411 E 2nd St
Ogallala, NE 69153
1104 N Spruce St
Ogallala, NE 69153
409 E 2nd St
Ogallala, NE 69153
409 E 2nd St
#F
Ogallala, NE 69153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705968000000",
"number": "1780737205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10802 FARNAM DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681543237",
"telephone_number": "531-895-5853",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 EAST 2ND ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "69153",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF OGALLALA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CITY CLERK TREASURE",
"authorized_official_telephone_number": "308-284-3607"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "5041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590042213",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "09405",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OGALLALA VOL. FIRE DEPT.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogallala, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.