Provider Demographics
NPI:1821287582
Name:CITY OF WILBER
Entity Type:Organization
Organization Name:CITY OF WILBER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:REZNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-821-3233
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:101 W THIRD STREET
Mailing Address - City:WILBER
Mailing Address - State:NE
Mailing Address - Zip Code:68465
Mailing Address - Country:US
Mailing Address - Phone:402-821-3233
Mailing Address - Fax:
Practice Address - Street 1:101 W THIRD STREET
Practice Address - Street 2:
Practice Address - City:WILBER
Practice Address - State:NE
Practice Address - Zip Code:68465
Practice Address - Country:US
Practice Address - Phone:402-821-3233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========01Medicaid
NE091779Medicare PIN