Provider Demographics
NPI:1194042788
Name:WATERLOO FIRE AND RESCUE
Entity Type:Organization
Organization Name:WATERLOO FIRE AND RESCUE
Other - Org Name:WATERLOO FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RESCUE LIEUTENANT
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:POJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-350-3408
Mailing Address - Street 1:10802 FARNAM DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3237
Mailing Address - Country:US
Mailing Address - Phone:877-218-4392
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:405 7TH ST
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:NE
Practice Address - Zip Code:68069-2245
Practice Address - Country:US
Practice Address - Phone:402-779-4250
Practice Address - Fax:402-779-0841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE51043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEPENDINGOtherBCBS
NEPENDINGMedicaid
NEPENDINGMedicaid