Provider Demographics
NPI:1265565006
Name:NORFOLK AMBULANCE SERVICE, INC.
Entity type:Organization
Organization Name:NORFOLK AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ARDITH
Authorized Official - Middle Name:E
Authorized Official - Last Name:KUTCHERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-371-2111
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:102 E WILSON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-2969
Practice Address - Country:US
Practice Address - Phone:402-371-2111
Practice Address - Fax:402-379-2845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE50383416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE9479OtherBCBS
NEF541OtherMIDLANDS CHOICE
NEF541OtherMIDLANDS CHOICE
NEF541OtherMIDLANDS CHOICE