Provider Demographics
NPI:1659333490
Name:ORD VOLUNTEER FIRE DEPARTMENT
Entity Type:Organization
Organization Name:ORD VOLUNTEER FIRE DEPARTMENT
Other - Org Name:ORD VOL. FIRE DEPT.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:COPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-730-1213
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 1:1628 M ST
Practice Address - Street 2:
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862-1710
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:2006-04-05
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12173416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39495OtherBLUE CROSS BLUE SHIELD
NE39495OtherBLUE CROSS BLUE SHIELD
NE10025292000Medicare ID - Type UnspecifiedPROVIDER NUMBER