Organization Active NPI

Syracuse Rescue Service

  • Ambulance
  • Syracuse, NE
National Provider Identifier
1790065878
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1290 Issued in NE
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0994022Syracuse Rescue Service572 Mohawk, Syracuse, NE 68446Certificate of waiverJul 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
City of Syracuse2 organizations share this tax ID, including this one

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

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.

Verify at the official NPI Registry.