Provider Demographics
NPI:1912025446
Name:DILLER RURAL FIRE AND AMBULANCE
Entity Type:Organization
Organization Name:DILLER RURAL FIRE AND AMBULANCE
Other - Org Name:DILLER RESCUE UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-520-1354
Mailing Address - Street 1:10802 FARNAM DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3237
Mailing Address - Country:US
Mailing Address - Phone:877-218-4392
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:420 COMMERCIAL STREET
Practice Address - Street 2:
Practice Address - City:DILLER
Practice Address - State:NE
Practice Address - Zip Code:68342
Practice Address - Country:US
Practice Address - Phone:402-793-5350
Practice Address - Fax:877-343-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10024983300Medicaid
091758Medicare ID - Type Unspecified