Provider Demographics
NPI:1063480929
Name:SNYDER VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:SNYDER VOLUNTEER FIRE DEPARTMENT
Other - Org Name:SNYDER VOL RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:HEYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-568-2200
Mailing Address - Street 1:PO BOX 38
Mailing Address - Street 2:
Mailing Address - City:SNYDER
Mailing Address - State:NE
Mailing Address - Zip Code:68664-0038
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:502 W 3RD ST
Practice Address - Street 2:
Practice Address - City:SNYDER
Practice Address - State:NE
Practice Address - Zip Code:68664
Practice Address - Country:US
Practice Address - Phone:402-572-4019
Practice Address - Fax:402-965-8594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025092400Medicaid
NE09308OtherBCS PROVIDER NUMBER
NEP00197165OtherRAILROAD MEDICARE NUMBER
NE10025092400Medicaid