MEDICARE: RISING CITY RURAL FIRE DIST NO 3

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	82	NE

General Provider Information

NPI Number	:	1972715233
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISING CITY RURAL FIRE DIST NO 3

Provider Business Mailing Address
First Line	:	PO BOX 87
Second Line	:
City	:	RISING CITY
State	:	NE
Zip	:	68658-0087
Country	:	US
Telephone Number	:	402-542-2430
Fax Number	:	402-542-2130

Provider Business Practice Location Address
First Line	:	105 MAIN ST.
Second Line	:
City	:	RISING CITY
State	:	NE
Zip	:	68658-0087
Country	:	US
Telephone Number	:	402-542-2430
Fax Number	:	402-542-2130

Authorized Official
Title or Position	:	ASSISTANT CHIEF
Name	:	MARK A DOEHLING
Credential	:	EMT
Telephone Number	:	402-526-2266

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	03/27/2015

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Directions to “RISING CITY RURAL FIRE DIST NO 3 ” Practice Location

Language	Start Address	Practice Location

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