Blaine County Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1035 Issued in NE

Legal business name

BLAINE COUNTY RESCUE SQUAD

Practice address

355 Manderson St
Brewster, NE 68821-9999

Phone

(877) 218-4392

Fax

(877) 343-0131

NPI assigned

Jun 16, 2005

Last updated

Oct 7, 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

Cristin Fay

Title

Captain

Phone

(531) 895-5853

Specialties & licenses 2

Addresses

Other identifiers 2

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

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1912902818",
    "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": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MANDERSON ST",
            "city": "BREWSTER",
            "state": "NE",
            "postal_code": "688219999",
            "telephone_number": "877-218-4392",
            "fax_number": "877-343-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAINE COUNTY RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "FAY",
        "authorized_official_first_name": "CRISTIN",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NE",
            "license": "1035",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "39441",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah L Cole
• Sadie Jo Feller
• Cynthia L Guggenmos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.