VILLAGE OF DOUGLAS NPI 1568452316

NPI Information

  • NPI: 1568452316
  • Provider Name: VILLAGE OF DOUGLAS
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: DOUGLAS RESCUE
  • CLIA Number: 28D1077953
  • Address: 104 MAIN STREET
    DOUGLAS, NE
    ZIP 68344
  • Phone: (402) 572-4019

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NPI Details

VILLAGE OF DOUGLAS is a land transport ambulance in Douglas, NE. VILLAGE OF DOUGLAS NPI is 1568452316. The provider is registered as an organization entity type.
The provider Is Doing Business As Douglas Rescue.

The provider's business location address is:

104 MAIN STREET
DOUGLAS, NE
ZIP 68344
Phone: (402) 572-4019
Fax: (402) 965-8594

The provider's authorized official is Kevin Hartman .
The authorized official title is Treasurer and has the following contact phone number (402) 572-4019.

The CLIA number assigned to this NPI record is 28D1077953 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport1098NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109350OTHERBLUE CROSS PROVIDER NO
210025076200MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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