Organization Active NPI

Wolbach Rural Fire Protection District

Doing business as Wolbach Rescue Squad

  • Land Ambulance
  • Wolbach, NE
National Provider Identifier
1780827980
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1333 Issued in NE
Legal business name
WOLBACH RURAL FIRE PROTECTION DISTRICT
Doing business as
Wolbach Rescue Squad
Practice address
304 Center Ave
Wolbach, NE 68882
Phone
(402) 572-4019
Fax
(402) 365-8594
NPI assigned
Apr 17, 2009
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Daniel Larson
Title
Rural Board Chairman
Phone
(877) 218-4392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1333 NE Primary

Addresses

Primary practice location

304 Center Ave
Wolbach, NE 68882

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392

Other names 1

  • WOLBACH RESCUE SQUAD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090527000523 NE Part B Supplier - Ambulance Service Supplier 0446309215 Practice locations: Wolbach, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1780827980",
    "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": "877-218-4392",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 CENTER AVE",
            "city": "WOLBACH",
            "state": "NE",
            "postal_code": "68882",
            "telephone_number": "402-572-4019",
            "fax_number": "402-365-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLBACH RURAL FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "RURAL BOARD CHAIRMAN",
        "authorized_official_telephone_number": "877-218-4392",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOLBACH RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wolbach, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.