Provider Demographics
NPI:1912025032
Name:CITY OF NELSON
Entity Type:Organization
Organization Name:CITY OF NELSON
Other - Org Name:NELSON RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHENDT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT B
Authorized Official - Phone:402-225-3911
Mailing Address - Street 1:PO BOX 133
Mailing Address - Street 2:
Mailing Address - City:NELSON
Mailing Address - State:NE
Mailing Address - Zip Code:68961-0133
Mailing Address - Country:US
Mailing Address - Phone:402-225-3911
Mailing Address - Fax:402-225-4402
Practice Address - Street 1:580 S MAIN ST.
Practice Address - Street 2:
Practice Address - City:NELSON
Practice Address - State:NE
Practice Address - Zip Code:68961
Practice Address - Country:US
Practice Address - Phone:402-225-3911
Practice Address - Fax:402-225-4402
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF NELSON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-27
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09449OtherBLUE CROSS BLUE SHIELD
NE=========00Medicaid
NE=========OtherOTHERS
NE=========00Medicaid