DUNDY COUNTY AMBULANCE SERVICE (NPI# 1821121286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821121286 |
| Entity Type | Organization |
| Organization Name | DUNDY COUNTY AMBULANCE SERVICE |
| Practice Address |
112 7th Ave W Benkelman NE 69021 |
| Mailing Address |
Po Box 506 Benkelman NE 69021 |
| Practice Telephone | 3084232058 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHELE HAISLIP (BILLING CLERK) |
| Authorized Official Telephone | 3084232058 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 146M00000X | Emergency Medical Technician, Intermediate | 5016 | NE | Emergency Medical Service Providers |
| X | 146N00000X | Emergency Medical Technician, Basic | 1426 | NE | Emergency Medical Service Providers |
| Street Address |
112 7TH AVE W |
| City | BENKELMAN |
| State | NE |
| Zip Code | 69021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730352659 | County of Dundy | Ambulance | 112 7th Ave W, Benkelman, NE 69021 | 2008-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982843074 | Jose Ramon Garcia Sr. | Family Medicine | 1313 N Cheyenne Street, Box 626, Benkelman, NE 69021 | 2009-02-12 |
| 1619071727 | Douglas Lee Peckham | Dentist | 718 Chief St, Benkelman, NE 69021 | 2006-09-11 |
| 1326039595 | Sarah Ann Hester Memorial Home | Assisted Living Facility | 407 Dakota Street, Benkelman, NE 69021 | 2005-11-04 |
| 1801154075 | Trevor L. Horner | Physical Therapist | 1313 North Cheyenne, Dundy County Hospital, Benkelman, NE 69021-0626 | 2012-04-25 |
| 1063625887 | Howard Lee Peckham | Dentist | 718 Chief Street, Benkelman, NE 69021-0664 | 2007-05-08 |
| 1912068859 | Gregory D Burrows | Optometrist | 617 Chief St, Benkelman, NE 69021-0686 | 2006-12-13 |
| 1790890739 | Tigers Pharmacy Inc | Pharmacy | 509 Chief St, Benkelman, NE 69021-3065 | 2006-08-20 |
| 1588683577 | Benjamin Wayne Blecha | Orthotic Fitter | 503 Chief St, Benkelman, NE 69021-3065 | 2006-07-19 |
| 1801308101 | Kendal Zane Glidden | Chiropractor | 503 Chief St, Benkelman, NE 69021-3065 | 2017-10-26 |
| 1801199567 | Anderson Healthcare Inc | Pharmacy | 509 Chief St, Benkelman, NE 69021-3065 | 2010-12-17 |
| Find all providers in zip 69021 | ||||
| Taxonomy Code | 146M00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Intermediate |
| An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629139662 | City of Wisner City Clerk Treas | Emergency Medical Technician, Intermediate | 1111 Avenue E, Wisner, NE 68791-2247 | 2006-12-13 |
| 1558680207 | Ronald James Freemont Jr. | Emergency Medical Technician, Intermediate | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2010-05-20 |
| 1205058385 | Abigail Ramona Mousseau | Emergency Medical Technician, Intermediate | 100 Indian Hills Drive, Macy, NE 68039 | 2007-05-02 |
Please comment or provide details below to improve the information on DUNDY COUNTY AMBULANCE SERVICE.
| 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.