Organization Active NPI

Mead Rural Fire Protection Dist

Doing business as Mead Vol Fire and Rescue Dept

  • Land Ambulance
  • Mead, NE
National Provider Identifier
1790752855
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MEAD RURAL FIRE PROTECTION DIST
Doing business as
Mead Vol Fire and Rescue Dept
Practice address
220 E 4TH St
Mead, NE 68041-3105
Phone
(402) 443-9688
Fax
(402) 624-2090
NPI assigned
Mar 7, 2006
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Nicholas D Raver
Title
Chief
Phone
(402) 443-9688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

220 E 4TH St
Mead, NE 68041-3105

Mailing address

PO Box 52
Mead, NE 68041-0052
Phone (024) 439-6884

Other identifiers 2

IdentifierTypeStateIssuer
39466OtherNEBCBS PROVIDER NUMBER
10025167200MedicaidNE

Other names 1

  • MEAD VOL FIRE AND RESCUE DEPT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000041 NE Part B Supplier - Ambulance Service Supplier 8921076282 Practice locations: Mead, NE

National Provider Directory

National Provider Directory

Locations

102 W 4th St
Mead, NE 68041
Phone (402) 936-4714

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1790752855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "MEAD",
            "state": "NE",
            "postal_code": "680410052",
            "telephone_number": "024-439-6884",
            "fax_number": "402-624-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E 4TH ST",
            "city": "MEAD",
            "state": "NE",
            "postal_code": "680413105",
            "telephone_number": "402-443-9688",
            "fax_number": "402-624-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEAD RURAL FIRE PROTECTION DIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "RAVER",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "402-443-9688"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "39466",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025167200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEAD VOL FIRE AND RESCUE DEPT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mead, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.