Healthcare Provider Details

I. General information

NPI: 1255145371
Provider Name (Legal Business Name): PAGE FIRE AND RESCUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 06/27/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 N 5TH ST
PAGE NE
68766-5018
US

IV. Provider business mailing address

PO BOX 158
PAGE NE
68766-0158
US

V. Phone/Fax

Practice location:
  • Phone: 402-338-5901
  • Fax:
Mailing address:
  • Phone: 402-340-0924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JONI ISOM
Title or Position: AMBULANCE SQUAD CAPTAIN
Credential: EMT
Phone: 402-340-0924