Provider Demographics
NPI:1477563591
Name:ROSALIE FIRE AND RESCUE
Entity Type:Organization
Organization Name:ROSALIE FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARLON
Authorized Official - Middle Name:
Authorized Official - Last Name:HENNIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-863-2325
Mailing Address - Street 1:210 S FARLEY ST.
Mailing Address - Street 2:P.O. BOX 225
Mailing Address - City:ROSALIE
Mailing Address - State:NE
Mailing Address - Zip Code:68055-0225
Mailing Address - Country:US
Mailing Address - Phone:402-863-2325
Mailing Address - Fax:
Practice Address - Street 1:210 S FARLEY ST.
Practice Address - Street 2:BOX 225
Practice Address - City:ROSALIE
Practice Address - State:NE
Practice Address - Zip Code:68055-0225
Practice Address - Country:US
Practice Address - Phone:402-863-2325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025164800Medicaid
NE10025164800Medicaid