AXTELL RURAL FIRE DEPARTMENT NO 4 (NPI# 1629155403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629155403 |
Entity Type | Organization |
Organization Name | AXTELL RURAL FIRE DEPARTMENT NO 4 |
Other Organization Name | AXTELL VOL. FIRE AND RESCUE DEPT. |
Practice Address |
202 E 6th St Axtell NE 68924-3419 |
Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
Practice Telephone | 4025724019 |
Practice Fax Number | 4029910719 |
Mailing Telephone | 4025724019 |
Mailing Fax Number | 4029910719 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-03-31 |
Authorized Official Name | JOHN JEFFREY ENGLAND (CHIEF) |
Authorized Official Telephone | 4025724019 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1019 | NE | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | BLUE CROSS PROVIDER NO | 39416 | 01 |
NE | 47600608600 | 05 |
Other Name | Type Code |
---|---|
AXTELL VOL. FIRE AND RESCUE DEPT. | Doing Business As Name - Organization |
Street Address |
202 E 6TH ST |
City | AXTELL |
State | NE |
Zip Code | 68924-3419 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164031985 | Rebecca Violet Hubbard | Registered Nurse | 506 A Ave, Axtell, NE 68924-3414 | 2020-07-28 |
1346753696 | Lucas J Houchin | Behavioral Analyst | 203 E 5th St, Axtell, NE 68924-3418 | 2017-11-08 |
1932714813 | Mosiac | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1044 23 Rd, Axtell, NE 68924-3679 | 2020-09-09 |
1972706885 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1044 23rd Rd, Axtell, NE 68924-3679 | 2007-06-07 |
1073961785 | Jennifer Marshall | Speech-Language Pathologist | 1 Pheasant Run, Axtell, NE 68924-3680 | 2016-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164023586 | Melanie Nicole Butcher | Registered Nurse | 617 Cavin Ln, Axtell, TX 76624-1280 | 2020-11-03 |
1932714813 | Mosiac | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1044 23 Rd, Axtell, NE 68924-3679 | 2020-09-09 |
1164031985 | Rebecca Violet Hubbard | Registered Nurse | 506 A Ave, Axtell, NE 68924-3414 | 2020-07-28 |
1396384236 | Shelby Brianne Harriman | Physical Therapy Assistant | 493 Retreat Center Rd, Axtell, TX 76624-1576 | 2019-12-23 |
1134686124 | Stacey Deann Clark | Licensed Vocational Nurse | 1400 Barron Ln, Axtell, TX 76624-1394 | 2019-02-26 |
1114498060 | Amber Michelle Tindell | Registered Nurse | 285 Fuller Rd, Axtell, TX 76624-1204 | 2018-12-17 |
1720567639 | Rhonda Denell Moffett | Registered Nurse | 141 North 9th Street, Axtell, TX 76624 | 2018-08-10 |
1346753696 | Lucas J Houchin | Behavioral Analyst | 203 E 5th St, Axtell, NE 68924-3418 | 2017-11-08 |
1073961785 | Jennifer Marshall | Speech-Language Pathologist | 1 Pheasant Run, Axtell, NE 68924-3680 | 2016-06-03 |
1366873192 | Bethany Sue Perry | Speech-Language Pathologist | 606 Pine St, Axtell, KS 66403-9617 | 2013-12-04 |
Find all providers in AXTELL |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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 |
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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.