Provider Demographics
NPI:1508162892
Name:ALVO RESCUE SQUAD
Entity Type:Organization
Organization Name:ALVO RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:402-781-2710
Mailing Address - Street 1:135 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALVO
Mailing Address - State:NE
Mailing Address - Zip Code:68304-9700
Mailing Address - Country:US
Mailing Address - Phone:402-781-2710
Mailing Address - Fax:402-781-9609
Practice Address - Street 1:135 MAIN ST
Practice Address - Street 2:
Practice Address - City:ALVO
Practice Address - State:NE
Practice Address - Zip Code:68304-9700
Practice Address - Country:US
Practice Address - Phone:402-781-2710
Practice Address - Fax:402-781-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport