Provider Demographics
NPI:1225190051
Name:COUNTY OF WEBSTER COUNTY CLERK
Entity Type:Organization
Organization Name:COUNTY OF WEBSTER COUNTY CLERK
Other - Org Name:WEBSTER COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:WEBSTER COUNTY CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:KNEHANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-746-2716
Mailing Address - Street 1:621 N CEDAR ST
Mailing Address - Street 2:P.O. BOX 250
Mailing Address - City:RED CLOUD
Mailing Address - State:NE
Mailing Address - Zip Code:68970-2300
Mailing Address - Country:US
Mailing Address - Phone:402-746-2716
Mailing Address - Fax:402-746-2710
Practice Address - Street 1:621 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:RED CLOUD
Practice Address - State:NE
Practice Address - Zip Code:68970-2300
Practice Address - Country:US
Practice Address - Phone:402-746-2716
Practice Address - Fax:402-746-2710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE091829Medicare ID - Type Unspecified