Healthcare Provider Details

I. General information

NPI: 1376594929
Provider Name (Legal Business Name): COUNTY OF JEFFERSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 10/12/2023
Certification Date: 10/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 3RD ST
FAIRBURY NE
68352-2651
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 402-729-3304
  • Fax: 402-729-3618
Mailing address:
  • Phone: 877-218-4392
  • Fax: 877-343-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number5002
License Number StateNE

VIII. Authorized Official

Name: MR. JEFFREY KLAUMANN
Title or Position: DIRECTOR
Credential:
Phone: 402-729-3304