Active NPI
Wolbach Rural Fire Protection District
Doing business as Wolbach Rescue Squad
- Land Ambulance
- Wolbach, NE
National Provider Identifier
1780827980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1333
- 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, 2024
- 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
- Mr. Daniel Larson
- Title
- Rural Board Chairman
- Phone
- (877) 218-4392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090527000523 | NE | Part B Supplier - Ambulance Service Supplier | 0446309215 | Practice locations: Wolbach, NE |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Saint Paul, NE
- NPI 1063451888
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.