Active NPI
Yutan Rural Fire Protection District 12
Doing business as Yutan Fire Dept
- Land Ambulance
- Yutan, NE
National Provider Identifier
1982746954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 5062
- Legal business name
- YUTAN RURAL FIRE PROTECTION DISTRICT 12
- Doing business as
- Yutan Fire Dept
- Practice address
- 411 1 St
Yutan, NE 68073 - Phone
- (402) 572-4019
- Fax
- (402) 965-8594
- NPI assigned
- Feb 13, 2007
- Last updated
- Jan 30, 2024
- 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
- Donald L Dooley
- Title
- Chief
- Phone
- (402) 625-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 5062 | NE | Primary |
Addresses
Primary practice location
411 1 St
Yutan, NE 68073
Mailing address
10802 Farnam Dr
Omaha, NE 68154-3237
Phone (877) 218-4392
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590015275 | Other | RR MEDICARE PROVIDER NO | |
| 39405 | Other | NE | BLUE CROSS PROVIDER NO |
Other names 1
- YUTAN FIRE DEPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110421000145 | NE | Part B Supplier - Ambulance Service Supplier | 5991980724 | Practice locations: Yutan, NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1982746954",
"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": "877-218-4392",
"fax_number": "877-343-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 1 ST",
"city": "YUTAN",
"state": "NE",
"postal_code": "68073",
"telephone_number": "402-572-4019",
"fax_number": "402-965-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUTAN RURAL FIRE PROTECTION DISTRICT 12",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "DOOLEY",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "402-625-2273"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NE",
"license": "5062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROVIDER NO",
"identifier": "590015275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NO",
"identifier": "39405",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "YUTAN FIRE DEPT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "YUTAN FIRE DEPT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Yutan, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.