Healthcare Provider Details

I. General information

NPI: 1295877272
Provider Name (Legal Business Name): VALLEY RURAL FIRE PROTECTION DIST 5
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 WEST CHURCH ST
VALLEY NE
68064-0554
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 402-572-4019
  • Fax: 402-991-0719
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 Number1307
License Number StateNE

VIII. Authorized Official

Name: VINCE SUNDE
Title or Position: ASSISTANT CHIEF
Credential:
Phone: 402-619-6577