City of Dodge
Organization Active NPI Land Ambulance · Dodge, NE
NPI 1972502490 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1972502490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- CITY OF DODGE
- Practice address
- 233 N. Oak St
Dodge, NE 68633-0013 - Phone
- (402) 693-2274
- Fax
- (402) 693-2318
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Patricia Langhorst
- Title
- Officer-Treasurer Financial
- Phone
- (402) 459-1473
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1084649 | Dodge Rescue | Certificate of waiver | May 29, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130306000084 | NE | Part B Supplier - Ambulance Service Supplier | 6305091919 | Practice locations: Dodge, NE |
National Provider Directory
Locations
233 N Oak St
Dodge, NE 68633
Phone (402) 693-2274
233 N Oak St
#13
Dodge, NE 68633
Phone (402) 693-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1096 | NE | |
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
233 N. Oak St
Dodge, NE 68633-0013
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (531) 895-5853
Other names
- Dodge Rescue Unit
Other providers in Dodge, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.