Provider Demographics
NPI:1083985188
Name:PALISADE FIRE DEPARTMENT
Entity Type:Organization
Organization Name:PALISADE FIRE DEPARTMENT
Other - Org Name:PALISADE RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:R
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-883-0771
Mailing Address - Street 1:PO BOX 641880
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7880
Mailing Address - Country:US
Mailing Address - Phone:402-057-2401
Mailing Address - Fax:
Practice Address - Street 1:105 S. MAIN ST
Practice Address - Street 2:
Practice Address - City:PALISADE
Practice Address - State:NE
Practice Address - Zip Code:69040
Practice Address - Country:US
Practice Address - Phone:308-883-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport