Provider Demographics
NPI:1104006766
Name:VILLAGE OF LINDSAY
Entity Type:Organization
Organization Name:VILLAGE OF LINDSAY
Other - Org Name:LINDSAY VOLUNTEER FIRE & RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:PREISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-920-2581
Mailing Address - Street 1:PO BOX 37
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:NE
Mailing Address - Zip Code:68644-0037
Mailing Address - Country:US
Mailing Address - Phone:402-920-2278
Mailing Address - Fax:402-428-2054
Practice Address - Street 1:121 PINE ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:NE
Practice Address - Zip Code:68644-4625
Practice Address - Country:US
Practice Address - Phone:402-428-4010
Practice Address - Fax:402-428-2054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-11
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11723416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100256630-00Medicaid
NE09371OtherNE BCBS
NE09371OtherNE BCBS