Organization Active NPI

Village of Clatonia

Doing business as Clatonia Rescue Squad

  • Land Ambulance
  • Clatonia, NE
National Provider Identifier
1962464990
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1069 Issued in NE
Legal business name
VILLAGE OF CLATONIA
Doing business as
Clatonia Rescue Squad
Practice address
255 Washington St
Clatonia, NE 68328-5018
Phone
(402) 223-9644
NPI assigned
Apr 5, 2006
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Shannon Denae Uhlman
Title
Secretary/Treasurer
Phone
(402) 223-9644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1069 NE Primary

Addresses

Primary practice location

255 Washington St
Clatonia, NE 68328-5018

Mailing address

PO Box 745
Tecumseh, NE 68450-0745
Phone (402) 335-7792

Other identifiers 2

IdentifierTypeStateIssuer
590010033OtherNERR MEDICARE PROVIDER NO
09446OtherNEBCBS PROVIDER NUMBER

Other names 1

  • CLATONIA RESCUE SQUAD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110104000567 NE Part B Supplier - Ambulance Service Supplier 4284532649 Practice locations: Clatonia, NE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2055727Clatonia Volunteer Rescue Squad255 Washington Street, Clatonia, NE 68328Certificate of waiverMar 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1962464990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684500745",
            "telephone_number": "402-335-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 WASHINGTON ST",
            "city": "CLATONIA",
            "state": "NE",
            "postal_code": "683285018",
            "telephone_number": "402-223-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF CLATONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "UHLMAN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DENAE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "402-223-9644"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": "1069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROVIDER NO",
            "identifier": "590010033",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "09446",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLATONIA RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clatonia, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.