Provider Demographics
NPI:1205133758
Name:HOMER RURAL FIRE PROTECTION
Entity type:Organization
Organization Name:HOMER RURAL FIRE PROTECTION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RESCUE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ICKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-560-5031
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 1:112 JOHN ST
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:NE
Practice Address - Zip Code:68030-9700
Practice Address - Country:US
Practice Address - Phone:402-572-4014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport