Provider Demographics
NPI:1467675348
Name:VILLAGE OF GUIDE ROCK
Entity Type:Organization
Organization Name:VILLAGE OF GUIDE ROCK
Other - Org Name:GUIDE ROCK VOLUNTEER FIRE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING CONTRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHENDT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT B
Authorized Official - Phone:402-225-3911
Mailing Address - Street 1:850 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NELSON
Mailing Address - State:NE
Mailing Address - Zip Code:68961-8113
Mailing Address - Country:US
Mailing Address - Phone:402-225-3911
Mailing Address - Fax:
Practice Address - Street 1:240 W DOUGLAS
Practice Address - Street 2:
Practice Address - City:GUIDE ROCK
Practice Address - State:NE
Practice Address - Zip Code:68942
Practice Address - Country:US
Practice Address - Phone:402-257-3945
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE OF GUIDE ROCK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-10
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3903416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09302OtherBLUE CROSS BLUE SHIELD
NE09302OtherBLUE CROSS BLUE SHIELD
NE=========00Medicaid
NE=========OtherOTHERS