Provider Demographics
NPI:1578522405
Name:TEKAMAH RURAL FIRE DISTRICT
Entity Type:Organization
Organization Name:TEKAMAH RURAL FIRE DISTRICT
Other - Org Name:TEKAMAH FIRE & RESCUE ASSOCIATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-374-2119
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:TEKAMAH
Mailing Address - State:NE
Mailing Address - Zip Code:68061-0094
Mailing Address - Country:US
Mailing Address - Phone:402-960-0335
Mailing Address - Fax:402-808-1272
Practice Address - Street 1:520 S 13TH ST
Practice Address - Street 2:
Practice Address - City:TEKAMAH
Practice Address - State:NE
Practice Address - Zip Code:68061-1310
Practice Address - Country:US
Practice Address - Phone:402-374-1444
Practice Address - Fax:402-374-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12943416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39456OtherBLUE CROSS PROVIDER NO
P00033195OtherRAILROAD MEDICARE PROVIDE
NE39456OtherBLUE CROSS PROVIDER NO
NE=========00Medicaid