VILLAGE OF PENDER (NPI# 1114030798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114030798 |
Entity Type | Organization |
Organization Name | VILLAGE OF PENDER |
Other Organization Name | PENDER RESCUE |
Practice Address |
314 Maple St Pender NE 68047 |
Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
Practice Telephone | 4025724019 |
Practice Fax Number | 4029658594 |
Mailing Telephone | 4025724019 |
Mailing Fax Number | 4029658594 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MR. ARDEN SHADBOLT (CHAIRMAN) |
Authorized Official Telephone | 4025724019 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1230 | NE | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | BCBS PROVIDER NUMBER | 09447 | 01 |
Other Name | Type Code |
---|---|
PENDER RESCUE | Doing Business As Name - Organization |
Street Address |
314 MAPLE ST |
City | PENDER |
State | NE |
Zip Code | 68047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477004737 | Karissa Lynn Johnson | Chiropractor | 110 N 4th Street, Pender, NE 68047 | 2016-10-20 |
1003367368 | Align Chiropractic, LLC | Chiropractor | 110 North 4th Street, Pender, NE 68047 | 2016-10-20 |
1811327273 | Northeast Nebraska Community Action Partnership, Inc. | Public Health or Welfare | 603 Earl Street, Pender, NE 68047 | 2013-11-22 |
1992749675 | Mercy Medical Services | Family Medicine | 100 Valley View Drive, Pender, NE 68047 | 2006-06-15 |
1609318849 | Dregalla Family Dentistry | Clinic/Center | 402 Main St, Pender, NE 68047 | 2016-11-04 |
1780769158 | Christine Dregalla | Dentist | 402 Main St, Pender, NE 68047 | 2006-10-26 |
1073600870 | Larry E Rihanek | Pharmacist | 100 Valley View Drive, Pender, NE 68047 | 2006-10-05 |
1285678987 | Benjamin O. Martin | Family Medicine | 100 Valley View Drive, Pender, NE 68047 | 2006-06-15 |
1962578997 | Pender Care Centre District Inc | Skilled Nursing Facility | 200 Valley View Dr, Pender, NE 68047-4443 | 2006-11-28 |
1588149561 | Brock Peter Simonsen | Physical Therapist | 100 Hospital Dr, Pender, NE 68047-4507 | 2018-09-26 |
Find all providers in zip 68047 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1124541677 | South Central Ems LLC | Ambulance | 156 S 8th St, Geneva, NE 68361 | 2017-07-17 |
1366983108 | Hallam Rural Fire Protection District | Ambulance | 4200 W Hallam Rd, Hallam, NE 68368-9998 | 2017-03-13 |
1962955187 | 9 Line Medical Solutions | Ambulance | 1129 W Court St, Beatrice, NE 68310-3537 | 2016-07-25 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.