Provider Demographics
NPI:1346380409
Name:LAWRENCE RURAL FIRE DIST.
Entity Type:Organization
Organization Name:LAWRENCE RURAL FIRE DIST.
Other - Org Name:LAWRENCE FIRE DEPARTMENT & RESCUE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEJEZENLEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-762-4211
Mailing Address - Street 1:161 SOUTH CALVERT
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NE
Mailing Address - Zip Code:68957
Mailing Address - Country:US
Mailing Address - Phone:402-756-7472
Mailing Address - Fax:
Practice Address - Street 1:161 SOUTH CALVERT
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NE
Practice Address - Zip Code:68957
Practice Address - Country:US
Practice Address - Phone:402-756-7472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1169341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09483OtherBLUE CROSS ID
NE=========00Medicaid
NE09483OtherBLUE CROSS ID
NE091767Medicare ID - Type Unspecified