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NPI Code Detail

MEDICARE: CITY OF HOLDREGE

MEDICARE: CITY OF HOLDREGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance1153NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1039499OTHERNEBCBS OF NE

General Provider Information

NPI Number : 1174559496
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF HOLDREGE
Provider Business Mailing Address
First Line : 502 EAST AVE
Second Line :
City : HOLDREGE
State : NE
Zip : 68949-2217
Country : US
Telephone Number : 308-995-8681
Fax Number :
Provider Business Practice Location Address
First Line : 1215 TIBBALS ST
Second Line :
City : HOLDREGE
State : NE
Zip : 68949-1255
Country : US
Telephone Number : 308-995-3275
Fax Number : 308-995-3223
Authorized Official
Title or Position : FIRE CHIEF
Name : DAN WAGNER
Credential :
Telephone Number : 308-995-8681
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/07/2008

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Directions to “CITY OF HOLDREGE ” Practice Location

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