VILLAGE OF SHELTON (NPI# 1336108802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336108802 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF SHELTON |
| Other Organization Name | SHELTON VOLUNTEER FIRE & RESCUE |
| Practice Address |
218 C St Shelton NE 68876-9611 |
| Mailing Address |
Po Box 641880 Omaha NE 68164-7880 |
| Practice Telephone | 4025724019 |
| Practice Fax Number | 4029910719 |
| Mailing Telephone | 4025724019 |
| Mailing Fax Number | 4029910719 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2011-04-23 |
| Authorized Official Name | WAYNE WITTE (CAPTAIN) |
| Authorized Official Telephone | 3082332218 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
5108 | NE | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS PROVIDER NO | 39404 | 01 |
| NE | 10025276600 | 05 |
| Other Name | Type Code |
|---|---|
| SHELTON VOLUNTEER FIRE & RESCUE | Doing Business As Name - Organization |
| Street Address |
218 C ST |
| City | SHELTON |
| State | NE |
| Zip Code | 68876-9611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952439853 | Hansen Medical PC | Family Medicine | 302 C Street, Shelton, NE 68876 | 2007-03-01 |
| 1730719196 | Amanda Kate Thober | Specialist/Technologist | 210 9th St, Shelton, NE 68876-9639 | 2020-01-23 |
| 1316404163 | Jacqueline Sue Cornelius | Registered Nurse | 210 9th St, Shelton, NE 68876-9639 | 2019-02-28 |
| 1083645857 | Gayle Sue Knoll | Dentist | 106 C St, Shelton, NE 68876-9688 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719158 | Jennifer Rodriguez | Behavior Technician | 1 Reservoir Corporate Ctr Ste 415, Shelton, CT 06484-6214 | 2020-10-28 |
| 1033718036 | Vanessa Gutierrez-santana | Massage Therapist | 31 Middle Ave, Shelton, CT 06484-3949 | 2020-10-21 |
| 1326646977 | Christopher David Patrick | Physical Therapist | 385 Bridgeport Ave, Shelton, CT 06484-5303 | 2020-10-15 |
| 1215535307 | Option Care Enterprises, Inc. | Home Infusion | 100 Trap Falls Road Ext Ste 200, Shelton, CT 06484-4646 | 2020-10-12 |
| 1740897446 | Jennifer Dolan | Massage Therapist | 28 Tahmore Pl, Shelton, CT 06484-1740 | 2020-09-26 |
| 1750997847 | Rachel Sarmento | Nurse Practitioner | 13 Sanford Dr, Shelton, CT 06484-5507 | 2020-09-23 |
| 1922614841 | Arthur Defrancisco | Homemaker | 96 Kings Hwy, Shelton, CT 06484-2942 | 2020-09-16 |
| 1003420340 | Katie Ann Laskin | Pharmacist | 100 Trap Falls Road Ext, Shelton, CT 06484-4646 | 2020-09-03 |
| 1093329898 | Laciel Porter | Behavior Technician | 307 W Cota St Fl 2, Shelton, WA 98584-2265 | 2020-08-31 |
| 1952914301 | Louisa O'grady | Dietitian, Registered | 7 Beacon Hill Ter, Shelton, CT 06484-5905 | 2020-08-26 |
| Find all providers in SHELTON | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396165544 | Mason Co Fpd 11 | Ambulance | 130 E Island Lake Rd, Shelton, WA 98584-9189 | 2014-04-25 |
| 1538195219 | Mason County Medic One, Ltd | Ambulance | 2019 Jefferson St, Shelton, WA 98584-2042 | 2006-06-24 |
| 1154308534 | Fire Protection Dist 5 Mason County | Ambulance | 122 W Franklin St, Shelton, WA 98584-3511 | 2005-12-28 |
| 1548247927 | Mason County Fire Protection Dist 4 | Ambulance | 2970 Se Arcadia Rd, Shelton, WA 98584-9324 | 2005-12-28 |
| 1619965167 | Echo Hose Hook and Ladder Ambulance Corps., Inc. | Ambulance | 100 Meadow St, Shelton, CT 06484-2265 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601295 | Bertrand Rural Fire Protection District 2 | Ambulance | 516 Minor Ave, Bertrand, NE 68927-3840 | 2020-08-26 |
| 1659903342 | The Beautiful Life Family Home Care LLC | Ambulance | 7905 L St Ste 440, Omaha, NE 68127-1732 | 2020-02-10 |
| 1760014070 | Hickman Rural Fire Protection District | Ambulance | 630 Chestnut St, Hickman, NE 68372-9764 | 2020-02-05 |
| 1689232209 | City of Aurora | Ambulance | 905 13th St, Aurora, NE 68818-2409 | 2019-05-29 |
| 1891254348 | Roseland Rural Fire District | Ambulance | 9300 S Meade Ave, Roseland, NE 68973-2500 | 2019-03-14 |
| 1457824294 | Village of Chester | Ambulance | 617 Thayer Ave, Chester, NE 68327 | 2019-01-04 |
| 1518447051 | Holstein Rural Fire Protection Dist | Ambulance | 9780 S. Holstein Ave, Holstein, NE 68950 | 2018-08-15 |
| 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 |
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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.