Healthcare Provider Details
I. General information
NPI: 1689637456
Provider Name (Legal Business Name): VILLAGE OF LOUISVILLE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 07/05/2023
Certification Date: 07/05/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
122 MAIN STREET
LOUISVILLE NE
68037
US
IV. Provider business mailing address
PO BOX 370
LOUISVILLE NE
68037
US
V. Phone/Fax
- Phone: 402-234-7705
- Fax: 402-234-2221
- Phone: 402-234-7705
- Fax: 402-234-2221
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEE
ANN
ARIAS
Title or Position: CITY TREASURER/CLERK
Credential:
Phone: 402-234-7705