Provider Demographics
NPI:1912961954
Name:PRAGUE RURAL FIR DISTRICT NO 6
Entity Type:Organization
Organization Name:PRAGUE RURAL FIR DISTRICT NO 6
Other - Org Name:PRAGUE RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:OURADA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:402-572-4019
Mailing Address - Street 1:PO BOX 641880
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7880
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:109 S RAILWAY AVENUE
Practice Address - Street 2:
Practice Address - City:PRAGUE
Practice Address - State:NE
Practice Address - Zip Code:68050
Practice Address - Country:US
Practice Address - Phone:402-663-4844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025052700Medicaid
NE39459OtherBCBS PROVIDER NUMBER
NEP00049106OtherRAILROAD MEDICARE NUMBER
NE39459OtherBCBS PROVIDER NUMBER