City of Superior

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1287 Issued in NE

Legal business name

CITY OF SUPERIOR

Doing business as

City of Superior Ambulance

Practice address

135 W 4TH St
Superior, NE 68978-1732

Phone

(402) 879-4713

NPI assigned

Apr 26, 2007

Last updated

Mar 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra J Schendt, EMT-B

Title

Billing Contractor

Phone

(402) 225-3911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• City of Superior Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1871713347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W 4TH ST",
            "address_2": "PO BOX 160",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781732",
            "telephone_number": "402-879-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 4TH ST",
            "city": "SUPERIOR",
            "state": "NE",
            "postal_code": "689781732",
            "telephone_number": "402-879-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SUPERIOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "SCHENDT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING CONTRACTOR",
        "authorized_official_telephone_number": "402-225-3911",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09454",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Superior Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riley L Butler, PA-C
• Cathy Layne Byers
• Andrew Carter, PHARMD
• Penny Jo Carter, RP
• Jamie Marie Cassens
• Makena Cordis
• County of Nuckolls School District No. 11 (Superior Public Schools)
• Tamera Jo Dahl
• Macy Driesen
• Destiny Eilers

• Land Ambulance in Superior, NE
• Providers in Superior, NE by specialty
• Land Ambulance in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.