Active NPI
City of Minden - Office of Comptroller
- Land Ambulance
- Minden, NE
National Provider Identifier
1790875813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1193
- Legal business name
- CITY OF MINDEN - OFFICE OF COMPTROLLER
- Practice address
- 325 N Colorado Ave
Minden, NE 68959-1686 - Phone
- (402) 572-4019
- Fax
- (402) 991-0719
- NPI assigned
- Oct 13, 2006
- 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
- Ms. Abbey Jordan
- Title
- Assistant
- Phone
- (308) 832-1820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1193 | NE | Primary |
Addresses
Primary practice location
325 N Colorado Ave
Minden, NE 68959-1686
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09403 | Other | NE | BLUE CROSS BLUE SHIELD |
Other names 1
- MINDEN FIRE DEPT.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061113000211 | NE | Part B Supplier - Ambulance Service Supplier | 5698773398 | Practice locations: Minden, NE |
National Provider Directory
National Provider DirectoryLocations
325 N Colorado Ave
Minden, NE 68959
Phone (308) 832-0448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712793600000",
"number": "1790875813",
"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": "325 N COLORADO AVE",
"city": "MINDEN",
"state": "NE",
"postal_code": "689591686",
"telephone_number": "402-572-4019",
"fax_number": "402-991-0719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MINDEN - OFFICE OF COMPTROLLER",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "ABBEY",
"authorized_official_title_or_position": "ASSISTANT",
"authorized_official_telephone_number": "308-832-1820",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "1193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09403",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MINDEN FIRE DEPT.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minden, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.