Provider Demographics
NPI:1558062372
Name:VILLAGE OF PLEASANT DALE NEBRASKA
Entity Type:Organization
Organization Name:VILLAGE OF PLEASANT DALE NEBRASKA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHRIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-419-6035
Mailing Address - Street 1:10802 FARNAM DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3237
Mailing Address - Country:US
Mailing Address - Phone:877-218-4392
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:110 ASH ST
Practice Address - Street 2:
Practice Address - City:PLEASANT DALE
Practice Address - State:NE
Practice Address - Zip Code:68423-9139
Practice Address - Country:US
Practice Address - Phone:877-218-4392
Practice Address - Fax:877-343-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport