Provider Demographics
NPI:1033292032
Name:FALLS CITY VOLUNTEER AMBULANCE SQUAD
Entity Type:Organization
Organization Name:FALLS CITY VOLUNTEER AMBULANCE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:OLBERDING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-245-6544
Mailing Address - Street 1:PO BOX 551
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-0551
Mailing Address - Country:US
Mailing Address - Phone:402-245-6544
Mailing Address - Fax:
Practice Address - Street 1:1820 TOWLE ST
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-1963
Practice Address - Country:US
Practice Address - Phone:402-245-5504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200390000AOtherMEDICAL ASSISTANCE
NE09425OtherBLUE CROSS BLUE SHIELD
NE=========00Medicaid
NE091856Medicare PIN