Organization Active NPI

City of Rushville

Doing business as Rushville Vol. Rescue/Fire

  • Land Ambulance
  • Rushville, NE
National Provider Identifier
1952489320
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1255 Issued in NE
Legal business name
CITY OF RUSHVILLE
Doing business as
Rushville Vol. Rescue/Fire
Practice address
201 W Hwy 20
Rushville, NE 69360-0498
Phone
(877) 218-4392
NPI assigned
Nov 1, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Becky Haller
Title
Ambulance Chief
Phone
(308) 360-0541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1255 NE Primary

Addresses

Primary practice location

201 W Hwy 20
Rushville, NE 69360-0498

Mailing address

10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853

Other identifiers 3

IdentifierTypeStateIssuer
09407OtherNEBLUE CROSS PROVIDER NO
10025097900MedicaidNE
9001690MedicaidSD

Other names 1

  • RUSHVILLE VOL. RESCUE/FIRE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000926 NE Part B Supplier - Ambulance Service Supplier 9234115080 Practice locations: Rushville, NE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1952489320",
    "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": "201 W HWY 20",
            "city": "RUSHVILLE",
            "state": "NE",
            "postal_code": "693600498",
            "telephone_number": "877-218-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RUSHVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "HALLER",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "AMBULANCE CHIEF",
        "authorized_official_telephone_number": "308-360-0541"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "09407",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025097900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9001690",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSHVILLE VOL. RESCUE/FIRE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RUSHVILLE VOL. RESCUE/FIRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rushville, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.