Provider Demographics
NPI:1821027095
Name:CITY OF PIERCE
Entity Type:Organization
Organization Name:CITY OF PIERCE
Other - Org Name:PIERCE RESCUE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:402-329-4738
Mailing Address - Street 1:P.O. BOX 98
Mailing Address - Street 2:106 SO. 1ST STREET
Mailing Address - City:PIERCE
Mailing Address - State:NE
Mailing Address - Zip Code:68767-0098
Mailing Address - Country:US
Mailing Address - Phone:402-329-4400
Mailing Address - Fax:402-329-4634
Practice Address - Street 1:106 SO. 1ST STREET
Practice Address - Street 2:
Practice Address - City:PIERCE
Practice Address - State:NE
Practice Address - Zip Code:68767-0098
Practice Address - Country:US
Practice Address - Phone:402-329-4400
Practice Address - Fax:402-329-4634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1235146N00000X
NE2683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
No3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-00Medicaid
NE091850Medicare ID - Type UnspecifiedPROVIDER NUMBER