MEDICARE: ARLINGTON RURAL FIRE DISTRICT

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
1	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590012812	OTHER	NE	RR MEDICARE PROVIDER NO
3	098790	OTHER	NE	MEDICARE- PART B

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	39424	OTHER	NE	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1811978588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARLINGTON RURAL FIRE DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 641880
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-7880
Country	:	US
Telephone Number	:	402-572-4019
Fax Number	:	402-965-8594

Provider Business Practice Location Address
First Line	:	405 N 4TH ST
Second Line	:
City	:	ARLINGTON
State	:	NE
Zip	:	68002-3148
Country	:	US
Telephone Number	:	402-478-4163
Fax Number	:

Authorized Official
Title or Position	:	CAPTAIN
Name	:	THOMAS W CHRISTENSEN
Credential	:
Telephone Number	:	402-478-4163

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	03/16/2011

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Directions to “ARLINGTON RURAL FIRE DISTRICT ” Practice Location

Language	Start Address	Practice Location

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