Brainard Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BRAINARD FIRE DEPARTMENT

Doing business as

Brainard Vol Fire & Rescue

Practice address

116 E Washington St
Brainard, NE 68626-3524

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Mar 29, 2006

Last updated

Sep 14, 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

Mr. Joyce Jelinek

Title

Captain

Phone

(402) 572-4019

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BRAINARD VOL FIRE & RESCUE 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

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1962463117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E WASHINGTON ST",
            "city": "BRAINARD",
            "state": "NE",
            "postal_code": "686263524",
            "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": "116 E WASHINGTON ST",
            "city": "BRAINARD",
            "state": "NE",
            "postal_code": "686263524",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINARD FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "JELINEK",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "402-572-4019",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "09297",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER NO",
            "identifier": "590014254",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAINARD VOL FIRE & RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Kay Bongers
• East Butler Public School District
• Jennifer Leigh Rohda, RN
• Angela Sisel, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.