Provider Demographics
NPI:1104859685
Name:VILLAGE OF MORRILL
Entity Type:Organization
Organization Name:VILLAGE OF MORRILL
Other - Org Name:MORRILL VOLUNTEER RESCUE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-247-2312
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:MORRILL
Mailing Address - State:NE
Mailing Address - Zip Code:69358-0305
Mailing Address - Country:US
Mailing Address - Phone:308-247-2312
Mailing Address - Fax:308-247-2061
Practice Address - Street 1:310 MAIN
Practice Address - Street 2:
Practice Address - City:MORRILL
Practice Address - State:NE
Practice Address - Zip Code:69358-0305
Practice Address - Country:US
Practice Address - Phone:308-247-2312
Practice Address - Fax:308-247-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09274OtherBLUE CROSS BLUE SHEILD NE
NE235OtherSTATE LICENSE NUMBER
NE09274OtherBLUE CROSS BLUE SHEILD NE
NE09274OtherBLUE CROSS BLUE SHEILD NE