Healthcare Provider Details

I. General information

NPI: 1821121286
Provider Name (Legal Business Name): DUNDY COUNTY AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 7TH AVE W
BENKELMAN NE
69021
US

IV. Provider business mailing address

PO BOX 506
BENKELMAN NE
69021
US

V. Phone/Fax

Practice location:
  • Phone: 308-423-2058
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number5016
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number1426
License Number StateNE

VIII. Authorized Official

Name: MICHELE HAISLIP
Title or Position: BILLING CLERK
Credential:
Phone: 308-423-2058