IRVINGTON VOLUNTEER FIRE DEPARTMENT INCORPORATED (NPI# 1780661884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780661884 |
Entity Type | Organization |
Organization Name | IRVINGTON VOLUNTEER FIRE DEPARTMENT INCORPORATED |
Other Organization Name | IRVINGTON VOL. FIRE DEPT. |
Practice Address |
9111 Fremont St Omaha NE 68122-1210 |
Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
Practice Telephone | 4025724019 |
Practice Fax Number | 4029658594 |
Mailing Telephone | 4029917866 |
Mailing Fax Number | 4029658594 |
Enumeration Date | 2005-12-29 |
Last Update Date | 2018-06-16 |
Authorized Official Name | THOMAS A TOWNSEND (RESCUE CAPTAIN) |
Authorized Official Telephone | 4025710451 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
5028 | NE | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | BLUE CROSS PROVIDER NO | 39457 | 01 |
MEDICARE | 098375 | 01 | |
NE | RAILROAD MEDICARE PROVIDE | 590011329 | 01 |
Other Name | Type Code |
---|---|
Irvington Vol. Fire Dept. | Doing Business As Name - Organization |
Street Address |
9111 FREMONT ST |
City | OMAHA |
State | NE |
Zip Code | 68122-1210 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609282920 | Andre Jordan | Registered Nurse | 7215 N. 90th Street, Omaha, NE 68122 | 2014-07-08 |
1063748895 | Amy Kristine Jones | Speech-Language Pathologist | 703 Country View Dr, Champaign, IL 68122 | 2009-10-29 |
1992964100 | Alegent Health Immanuel Medical Center | Psychiatric Residential Treatment Facility | 6845 N 68th Plaza, Omaha, NE 68122 | 2008-06-03 |
1093835852 | Suzane Lynne Bohlen | Nurse Anesthetist, Certified Registered | 6901 N 72 St, Omaha, NE 68122 | 2007-03-29 |
1376686733 | Midwest Surgical Associates PC | Surgery | 6828 N 72 St, #5500, Omaha, NE 68122 | 2007-02-15 |
1902975386 | Midwest Medical Imaging Center Inc | Radiology | Midwest Medical Imaging Center, 6901 North 72nd Street, Omaha, NE 68122 | 2006-11-07 |
1245348754 | Scott Denman Wilt | Anesthesiology | 6901 N 72 Street, Omaha, NE 68122 | 2006-08-25 |
1982620639 | Robert J Zadalis | Surgery | 6829 N 72nd St Ste 5500, Omaha, NE 68122 | 2006-07-14 |
1245299304 | Kristin Nicole Krobot | Physician Assistant | 6901 N. 72nd St., Immanuel Emergency Room, Omaha, NE 68122 | 2006-03-18 |
1326575440 | Kathleen L Koeppel | Registered Nurse | 6901 N 72nd Street, Attn: Diabetic Education, Omaha, NE 68122 | 2017-05-19 |
Find all providers in zip 68122 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.