Healthcare Provider Details

I. General information

NPI: 1659333490
Provider Name (Legal Business Name): ORD VOLUNTEER FIRE DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 02/23/2023
Certification Date: 02/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1628 M ST
ORD NE
68862-1710
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 877-218-4392
  • Fax: 877-343-0131
Mailing address:
  • Phone: 877-218-4392
  • Fax: 877-343-0131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1217
License Number StateNE

VIII. Authorized Official

Name: MR. LARRY COPP
Title or Position: CHIEF
Credential:
Phone: 308-730-1213