Healthcare Provider Details

I. General information

NPI: 1336181726
Provider Name (Legal Business Name): VERDIGRE VOLUNTEER FIRE & RESCUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/17/2024
Certification Date: 04/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 3RD AVE
VERDIGRE NE
68783-5125
US

IV. Provider business mailing address

PO BOX 171
VERDIGRE NE
68783-0171
US

V. Phone/Fax

Practice location:
  • Phone: 402-640-1201
  • Fax: 605-583-3673
Mailing address:
  • Phone: 402-640-1201
  • Fax: 402-668-2207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA A GRIM
Title or Position: TREASUER
Credential: EMT
Phone: 402-640-1201