BLAIR RESCUE SQUAD (NPI# 1164565008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164565008 |
| Entity Type | Organization |
| Organization Name | BLAIR RESCUE SQUAD |
| Practice Address |
218 S 16th St Blair NE 68008-2010 |
| 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 | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK HODSON (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 |
5009 | NE | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS PROVIDER NO | 39435 | 01 |
| Street Address |
218 S 16TH ST |
| City | BLAIR |
| State | NE |
| Zip Code | 68008-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679717482 | City of Blair | Ambulance | 218 S 16th St, Blair, NE 68008-2010 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1750752432 | Mindy Logston | Speech-Language Pathologist | 1717 Adams Street, Blair, NE 68008 | 2015-10-07 |
| 1952545709 | Home Care Network, Inc | Nursing Care | 14700 State Highway 133, Blair, NE 68008 | 2009-04-23 |
| 1619114246 | Andrea L Ott | Physician Assistant | 812 N 22nd Street, Blair Clinic, Blair, NE 68008 | 2009-01-20 |
| 1730376047 | Assisted Living Concepts Inc | Assisted Living Facility | 1028 Joann Drive, Blair, NE 68008 | 2007-10-01 |
| 1497956478 | Charles Leroy Gleeson | Pharmacist | 9889 Cr 29, Blair, NE 68008 | 2007-05-29 |
| 1144322082 | Richard K Ward | Emergency Medicine | 810 N. 22nd Street, Mch & Health System, Blair, NE 68008 | 2006-09-01 |
| 1942319116 | Lisa A. Babcock | Audiologist | 11223 N. Lakeshore Dr., Blair, NE 68008 | 2006-08-30 |
| 1841637139 | Paula J. Thielen-kocharov | Family Medicine | 812 N 22nd St, Blair, NE 68008 | 2013-05-28 |
| 1588849848 | Vision Care Clinic PC | Optometrist | 1526 Washington St, Blair, NE 68008 | 2008-01-07 |
| Find all providers in zip 68008 | ||||
| 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 |
|---|---|---|---|---|
| 1679717482 | City of Blair | Ambulance | 218 S 16th St, Blair, NE 68008-2010 | 2009-04-23 |
| 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 BLAIR RESCUE SQUAD.
| 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.