Provider Demographics
NPI:1376589341
Name:NEBRASKA CITY RESCUE SERVICE
Entity Type:Organization
Organization Name:NEBRASKA CITY RESCUE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEANENE
Authorized Official - Middle Name:
Authorized Official - Last Name:PUMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-873-3444
Mailing Address - Street 1:1409 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-2223
Mailing Address - Country:US
Mailing Address - Phone:402-873-3444
Mailing Address - Fax:402-873-5191
Practice Address - Street 1:1409 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2223
Practice Address - Country:US
Practice Address - Phone:402-873-3444
Practice Address - Fax:402-873-5191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE50373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09492OtherBLUE CROSS PROVIDER
590015368OtherRR MEDICARE PROVIDER
NE=========00Medicaid
590015368OtherRR MEDICARE PROVIDER