Provider Demographics
NPI:1326265166
Name:COUNTY OF BOYD
Entity Type:Organization
Organization Name:COUNTY OF BOYD
Other - Org Name:BOYD COUNTY AMB. SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:TEJRAL
Authorized Official - Suffix:
Authorized Official - Credentials:EMT
Authorized Official - Phone:402-775-2221
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:NE
Mailing Address - Zip Code:68722-0007
Mailing Address - Country:US
Mailing Address - Phone:402-775-2221
Mailing Address - Fax:
Practice Address - Street 1:601 WILSON ST
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:NE
Practice Address - Zip Code:68722-0007
Practice Address - Country:US
Practice Address - Phone:402-775-2221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10363416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
091846Medicare PIN