Organization Active NPI

City of Ogallala

  • Land Ambulance
  • Ogallala, NE
National Provider Identifier
1780737205
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
5041 Issued in NE
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

Updated by the provider on Jan 23, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590042213OtherNERR MEDICARE
09405OtherNEBLUE CROSS

Other names 1

  • OGALLALA VOL. FIRE DEPT. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000611 NE Part B Supplier - Ambulance Service Supplier 5597941658 Practice locations: Ogallala, NE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.