Healthcare Provider Details

I. General information

NPI: 1649638693
Provider Name (Legal Business Name): HILDRETH RURAL FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 12/27/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 COMMERCIAL AVE
HILDRETH NE
68947-5173
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 308-991-4003
  • Fax:
Mailing address:
  • Phone: 531-895-5853
  • Fax: 877-343-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1151
License Number StateNE

VIII. Authorized Official

Name: JOEL PANTER
Title or Position: FIRE CHIEF
Credential:
Phone: 308-991-4003