Provider Demographics
NPI:1295877272
Name:VALLEY RURAL FIRE PROTECTION DIST 5
Entity type:Organization
Organization Name:VALLEY RURAL FIRE PROTECTION DIST 5
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-619-6577
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 1:210 WEST CHURCH ST
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:NE
Practice Address - Zip Code:68064-0554
Practice Address - Country:US
Practice Address - Phone:402-572-4019
Practice Address - Fax:402-991-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00106999OtherRR MEDICARE PROVIDER NO
NE09313OtherBLUE CROSS PROVIDER NO
NE09313OtherBLUE CROSS PROVIDER NO
NE=========00Medicaid