Provider Demographics
NPI: | 1861497752 |
---|---|
Name: | ANSLEY RURAL FIRE PROTECTION DIST 1 |
Entity Type: | Organization |
Organization Name: | ANSLEY RURAL FIRE PROTECTION DIST 1 |
Other - Org Name: | ANSLEY RESCUE UNIT |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CAPTAIN |
Authorized Official - Prefix: | |
Authorized Official - First Name: | STACEY |
Authorized Official - Middle Name: | J |
Authorized Official - Last Name: | MARSH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 308-935-1893 |
Mailing Address - Street 1: | PO BOX 641880 |
Mailing Address - Street 2: | |
Mailing Address - City: | OMAHA |
Mailing Address - State: | NE |
Mailing Address - Zip Code: | 68164-7880 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 402-572-4019 |
Mailing Address - Fax: | 402-991-0719 |
Practice Address - Street 1: | 522 DIVISION ST |
Practice Address - Street 2: | |
Practice Address - City: | ANSLEY |
Practice Address - State: | NE |
Practice Address - Zip Code: | 68814-2413 |
Practice Address - Country: | US |
Practice Address - Phone: | 308-935-1733 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2005-06-16 |
Last Update Date: | 2013-05-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NE | 1009 | 3416L0300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3416L0300X | Transportation Services | Ambulance | Land Transport |