Provider Demographics
NPI:1265494348
Name:ORCHARD VOLUNTEER FIRE AND RESCUE
Entity Type:Organization
Organization Name:ORCHARD VOLUNTEER FIRE AND RESCUE
Other - Org Name:ORCHARD FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BELIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-572-4019
Mailing Address - Street 1:240 WINDOM ST
Mailing Address - Street 2:
Mailing Address - City:ORCHARD
Mailing Address - State:NE
Mailing Address - Zip Code:68764-5077
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:240 WINDOM ST
Practice Address - Street 2:
Practice Address - City:ORCHARD
Practice Address - State:NE
Practice Address - Zip Code:68764-5077
Practice Address - Country:US
Practice Address - Phone:402-572-4019
Practice Address - Fax:402-965-8594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09336OtherBLUE CROSS BLUE SHIELD
NE09336OtherBLUE CROSS BLUE SHIELD
MT099557Medicare ID - Type UnspecifiedPROVIDER NUMBER