VILLAGE OF FAIRMONT (NPI# 1083825103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083825103 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF FAIRMONT |
| Other Organization Name | FAIRMONT RESCUE UNIT |
| Practice Address |
605 F Street Fairmont NE 68354 |
| Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
| Practice Telephone | 4025724019 |
| Practice Fax Number | 4029658594 |
| Mailing Telephone | 4025724019 |
| Mailing Fax Number | 4029658594 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES R ATMORE (RESCUE CAPTAIN) |
| Authorized Official Telephone | 4025724019 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1115 | NE | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | PENDING | 05 | |
| NE | PROVIDER NUMBER | PENDING | 01 |
| Other Name | Type Code |
|---|---|
| FAIRMONT RESCUE UNIT | Doing Business As Name - Organization |
| Street Address |
605 F STREET |
| City | FAIRMONT |
| State | NE |
| Zip Code | 68354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114589207 | Stacey Rae Stuertz | Physical Therapy Assistant | 740 12th Ave, Fairmont, NE 68354-9593 | 2019-06-28 |
| 1437134004 | City of Fairmont Nebraska - Fairview Manor | Skilled Nursing Facility | 255 F St, Fairmont, NE 68354-9771 | 2005-12-07 |
| 1508390600 | Abby Leigh Walters | Occupational Therapist | 255 F St, Fairmont, NE 68354-9771 | 2017-04-14 |
| 1245215342 | City of Fairmont Nebraska - Fairview Manor Dba Country Reflections | Assisted Living Facility | 255 F St, Fairmont, NE 68354-9771 | 2005-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497680 | Vanquisha Clay | Technician | 118 Conaway St, Fairmont, WV 26554 | 2020-11-06 |
| 1639770753 | Tammy Jo Morris | Home Health Aide | 20 E Park Vlg, Fairmont, WV 26554-9141 | 2020-11-04 |
| 1194326348 | Gaynell Clay | Technician | 402 Spring St, Fairmont, WV 26554-3012 | 2020-11-04 |
| 1053912154 | Rebecca Leeanna Sharp | Technician | 405 1/2 Hamilton St, Fairmont, WV 26554-2915 | 2020-11-04 |
| 1750981700 | Brenda Kay Martin | Technician | 171 Chesapeake Rd, Fairmont, WV 26554-9699 | 2020-10-29 |
| 1487254504 | Savannah Lynn Zink | Social Worker | 503 Morgantown Ave Ste 205, Fairmont, WV 26554-4384 | 2020-10-28 |
| 1083213342 | Leah Ellen Jarvis | Technician | 211 Billingslea St, Fairmont, WV 26554-3028 | 2020-10-19 |
| 1417556622 | Katie Jhnson | Home Health Aide | 480 Leonard Avenue Ext Apt 8h, Fairmont, WV 26554-3876 | 2020-10-19 |
| 1164020137 | Sonya Alicia Singleton | Social Worker | 1446 Locust Ave, Fairmont, WV 26554-1330 | 2020-10-13 |
| 1063010353 | Melinda Herron | Technician | 106 Monongah Hts, Fairmont, WV 26554-9756 | 2020-10-09 |
| Find all providers in FAIRMONT | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678615 | Marion County Rescue Squad Inc | Ambulance | 400 Virginia Ave, Fairmont, WV 26554-2749 | 2005-09-07 |
| 1760995591 | Fairmont Area Ems & Rescue | Ambulance | 1001 S Walnut St, Fairmont, NC 28340-1843 | 2017-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601295 | Bertrand Rural Fire Protection District 2 | Ambulance | 516 Minor Ave, Bertrand, NE 68927-3840 | 2020-08-26 |
| 1659903342 | The Beautiful Life Family Home Care LLC | Ambulance | 7905 L St Ste 440, Omaha, NE 68127-1732 | 2020-02-10 |
| 1760014070 | Hickman Rural Fire Protection District | Ambulance | 630 Chestnut St, Hickman, NE 68372-9764 | 2020-02-05 |
| 1689232209 | City of Aurora | Ambulance | 905 13th St, Aurora, NE 68818-2409 | 2019-05-29 |
| 1891254348 | Roseland Rural Fire District | Ambulance | 9300 S Meade Ave, Roseland, NE 68973-2500 | 2019-03-14 |
| 1457824294 | Village of Chester | Ambulance | 617 Thayer Ave, Chester, NE 68327 | 2019-01-04 |
| 1518447051 | Holstein Rural Fire Protection Dist | Ambulance | 9780 S. Holstein Ave, Holstein, NE 68950 | 2018-08-15 |
| 1124541677 | South Central Ems LLC | Ambulance | 156 S 8th St, Geneva, NE 68361 | 2017-07-17 |
| 1366983108 | Hallam Rural Fire Protection District | Ambulance | 4200 W Hallam Rd, Hallam, NE 68368-9998 | 2017-03-13 |
| 1962955187 | 9 Line Medical Solutions | Ambulance | 1129 W Court St, Beatrice, NE 68310-3537 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VILLAGE OF FAIRMONT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.