VILLAGE OF PETERSBURG (NPI# 1235271073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235271073 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF PETERSBURG |
| Other Organization Name | PETERSBURG FIRE AND RESCUE |
| Practice Address |
226 E Main St Petersburg NE 68652 |
| Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
| Practice Telephone | 4023865287 |
| Practice Fax Number | 4029658594 |
| Mailing Telephone | 4025724019 |
| Mailing Fax Number | 4029658594 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2011-05-13 |
| Authorized Official Name | RANDALL D PELSTER (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 |
1233 | NE | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS PROVIDER NE | 09312 | 01 |
| RR MEDICARE PROVIDER NO | 590014780 | 01 |
| Other Name | Type Code |
|---|---|
| PETERSBURG FIRE AND RESCUE | Doing Business As Name - Organization |
| Street Address |
226 E MAIN ST |
| City | PETERSBURG |
| State | NE |
| Zip Code | 68652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124663 | Vets Aide | Home Health Aide | 49 Walnut Blvd, Petersburg, VA 23805-2109 | 2020-11-03 |
| 1720688419 | Kimberly Dawn Runion | Technician | 791 Cave Mtn Rd, Petersburg, WV 26847 | 2020-10-30 |
| 1740889872 | Tandrea Graham | Community Health Worker | 628 Old Wagner Rd, Petersburg, VA 23805-9319 | 2020-10-20 |
| 1235738394 | Hl Transportation Services LLC | Non-emergency Medical Transport (VAN) | 210 Walnut Blvd Apt 19, Petersburg, VA 23805-2054 | 2020-10-20 |
| 1265030217 | Alisha Rose Powell | Technician | 216 Clifftop Dr Apt 84, Petersburg, WV 26847-8893 | 2020-10-13 |
| 1063010155 | Kourtney Hendricks | Home Health Aide | 1641 Darby Dr, Petersburg, VA 23803-5331 | 2020-10-12 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1174130397 | Upscale Home Care, LLC | Home Health | 325 Brown St Ste 131, Petersburg, VA 23803-4234 | 2020-09-30 |
| 1295341675 | Logan Mackenzie Willis | Technician | 216 Clifftop Dr Apt 86, Petersburg, WV 26847-8893 | 2020-09-21 |
| 1336755917 | Leap of Faith Adult Services LLC | Day Training, Developmentally Disabled Services | 528 Virginia Ave, Petersburg, VA 23803-5759 | 2020-09-19 |
| Find all providers in PETERSBURG | ||||
| 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 |
|---|---|---|---|---|
| 1629609797 | Dignity With Care Transportation Services Inc | Ambulance | 104 N Plains Dr, Petersburg, VA 23805-9110 | 2020-01-28 |
| 1407375827 | County of Grant | Ambulance | 117 Virginia Ave, Petersburg, WV 26847-1713 | 2017-09-18 |
| 1720214232 | Pike County Medical Transport LLC | Ambulance | 4747 N County Road 575 E, Petersburg, IN 47567-8804 | 2009-06-10 |
| 1689721144 | Petersburg Borough | Ambulance | 1200 Haugen Drive, Petersburg, AK 99833 | 2007-01-05 |
| 1730171596 | Twin Creeks Community Volunteer Ambulance Service | Ambulance | 4814 Shavers Creek Rd, Petersburg, PA 16669-3630 | 2005-08-18 |
| 1104825595 | Petersburg Fire Protection District | Ambulance | 3018 2nd Street, Petersburg, KY 41080-0068 | 2005-07-18 |
| 1700929437 | Pike County Auditor | Ambulance | 100 S 4th St, Petersburg, IN 47567-1411 | 2007-02-14 |
| 1376513010 | Pike County Emergency Medical Service | Ambulance | 801 E Main St, Courthouse, Petersburg, IN 47567-1249 | 2006-01-25 |
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|---|---|---|---|---|
| 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 | ||||
| City | PETERSBURG |
| Zip Code | 68652 |
Please comment or provide details below to improve the information on VILLAGE OF PETERSBURG.
| 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.