Active NPI
City of Gretna
- Land Ambulance
- Gretna, NE
National Provider Identifier
1912929175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5023
- Legal business name
- CITY OF GRETNA
- Practice address
- 11175 S 204 St
Gretna, NE 68028 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Jul 24, 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
- Rod Buethe
- Title
- Fire Chief
- Phone
- (402) 572-4019
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5023 | NE | Primary |
Addresses
Primary practice location
11175 S 204 St
Gretna, NE 68028
Mailing address
PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09356 | Other | NE | BLUE CROSS PROVIDER NO |
Other names 1
- GRETNA VOLUNTEER FIRE & RESCUE DEPARTMENT
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912929175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641880",
"city": "OMAHA",
"state": "NE",
"postal_code": "681647880",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 S 204 ST",
"city": "GRETNA",
"state": "NE",
"postal_code": "68028",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF GRETNA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BUETHE",
"authorized_official_first_name": "ROD",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "402-572-4019"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "5023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO",
"identifier": "09356",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GRETNA VOLUNTEER FIRE & RESCUE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gretna, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.