Active NPI
Syracuse Rescue Service
- Ambulance
- Syracuse, NE
National Provider Identifier
1790065878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1290
- Legal business name
- SYRACUSE RESCUE SERVICE
- Practice address
- 572 Mohawk St
Syracuse, NE 68446-9313 - Phone
- (402) 269-2111
- Fax
- (402) 269-2111
- NPI assigned
- Aug 22, 2011
- Last updated
- Aug 22, 2011
- 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
- Timothy A Wilson, PARAMEDIC
- Title
- Chief of Operations
- Phone
- (308) 440-5573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1290 | NE | Primary |
Addresses
Primary practice location
572 Mohawk St
Syracuse, NE 68446-9313
Mailing address
572 Mohawk St
PO Box 225
Syracuse, NE 68446-9313
Phone (402) 269-2111
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0994022 | Syracuse Rescue Service | Certificate of waiver | Jul 17, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- City of Syracuse
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1790065878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "572 MOHAWK ST",
"address_2": "PO BOX 225",
"city": "SYRACUSE",
"state": "NE",
"postal_code": "684469313",
"telephone_number": "402-269-2111",
"fax_number": "402-269-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 MOHAWK ST",
"city": "SYRACUSE",
"state": "NE",
"postal_code": "684469313",
"telephone_number": "402-269-2111",
"fax_number": "402-269-2111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYRACUSE RESCUE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF OF OPERATIONS",
"authorized_official_telephone_number": "308-440-5573",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NE",
"license": "1290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NE
- James D. Steckelberg, M.D.
- Kenzi Steele, OTD, OTR/L
- Ronda Renee Stinson, R.P.
- Jacki Stubbendick, RN
- Syracuse Dental Clinic LLC
- Syracuse Town & Country Pharmacy (Syracuse Town and Country Phrmy)
- Syracuse Town & Country Pharmacy, Inc
- Syracuse Vision Center, P.C. (Syracuse Family Eyecare)
- The Evangelical Lutheran Good Samaritan Society (Linden View)
- The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Syracuse)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.