Healthcare Provider Details

I. General information

NPI: 1952489320
Provider Name (Legal Business Name): CITY OF RUSHVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/24/2023
Certification Date: 02/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W HWY 20
RUSHVILLE NE
69360-0498
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 877-218-4392
  • 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 Number1255
License Number StateNE

VIII. Authorized Official

Name: BECKY HALLER
Title or Position: AMBULANCE CHIEF
Credential:
Phone: 308-360-0541