Provider Demographics
NPI:1689637456
Name:VILLAGE OF LOUISVILLE
Entity Type:Organization
Organization Name:VILLAGE OF LOUISVILLE
Other - Org Name:LOUISVILLE VOLUNTEER FIRE/RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CITY TREASURER/CLERK
Authorized Official - Prefix:
Authorized Official - First Name:DEE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-234-7705
Mailing Address - Street 1:PO BOX 370
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:NE
Mailing Address - Zip Code:68037
Mailing Address - Country:US
Mailing Address - Phone:402-234-7705
Mailing Address - Fax:402-234-2221
Practice Address - Street 1:122 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:NE
Practice Address - Zip Code:68037
Practice Address - Country:US
Practice Address - Phone:402-234-7705
Practice Address - Fax:402-234-2221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09478OtherBCBS PROVIDER NUMBER
NE=========00Medicaid
NE590005989Medicare PIN
NE09478OtherBCBS PROVIDER NUMBER