Healthcare Provider Details

I. General information

NPI: 1518916055
Provider Name (Legal Business Name): ASHLAND RESCUE SQUAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2402 SILVER ST
ASHLAND NE
68003-1537
US

IV. Provider business mailing address

PO BOX 311
ASHLAND NE
68003-0311
US

V. Phone/Fax

Practice location:
  • Phone: 402-944-2849
  • Fax: 402-944-7004
Mailing address:
  • Phone: 402-944-2849
  • Fax: 402-944-7004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number244
License Number StateNE

VIII. Authorized Official

Name: PAT BOONE
Title or Position: SECRETARY/TREASURER
Credential:
Phone: 402-944-2849