City of Fullerton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1125 Issued in NE

Legal business name

CITY OF FULLERTON

Doing business as

Fullerton Rescue Squad

Practice address

206 N Fuller
Fullerton, NE 68638

Phone

(877) 218-4392

Fax

(877) 343-0131

NPI assigned

Oct 14, 2008

Last updated

May 2, 2024By 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

Mr. Allen Chlopek

Title

City Administrator

Phone

(308) 536-2428

Specialties & licenses 1

Addresses

Other names 1

• FULLERTON RESCUE SQUAD Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1891947503",
    "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": "206 N FULLER",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "68638",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FULLERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2024-05-02",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "CHLOPEK",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "308-536-2428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FULLERTON RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.