MEDICARE: OAKLAND FIRE DISTRICT 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	1211	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09301	OTHER	NE	BCBS

General Provider Information

NPI Number	:	1932342631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKLAND FIRE DISTRICT DISTRICT

Provider Business Mailing Address
First Line	:	10802 FARNAM DR
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68154-3237
Country	:	US
Telephone Number	:	531-895-5853
Fax Number	:	877-343-0131

Provider Business Practice Location Address
First Line	:	500 N OAKLAND AVE
Second Line	:
City	:	OAKLAND
State	:	NE
Zip	:	68045-1137
Country	:	US
Telephone Number	:	402-685-5480
Fax Number	:

Authorized Official
Title or Position	:	TREASURER
Name	:	KEITH CHARLING III
Credential	:
Telephone Number	:	402-685-5774

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	03/06/2024

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Directions to “OAKLAND FIRE DISTRICT DISTRICT ” Practice Location

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