Provider Demographics
NPI:1114930682
Name:MULLEN RURAL FIRE DISTRICT
Entity Type:Organization
Organization Name:MULLEN RURAL FIRE DISTRICT
Other - Org Name:MULLEN AMBULANCE
Other - Org Type:Other Name
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:H
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-546-2841
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:MULLEN
Mailing Address - State:NE
Mailing Address - Zip Code:69152-0009
Mailing Address - Country:US
Mailing Address - Phone:308-546-2841
Mailing Address - Fax:
Practice Address - Street 1:202 NW 4TH STREET
Practice Address - Street 2:
Practice Address - City:MULLEN
Practice Address - State:NE
Practice Address - Zip Code:69152-0009
Practice Address - Country:US
Practice Address - Phone:308-546-2841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========OtherBC BS
NE=========00Medicaid
NE=========OtherBC BS