Healthcare Provider Details

I. General information

NPI: 1720159254
Provider Name (Legal Business Name): CITY OF WEEPING WATER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313EST ELDORA AVE
WEEPING WATER NE
68463
US

IV. Provider business mailing address

10802 FARNAM DR
OMAHA NE
68154-3237
US

V. Phone/Fax

Practice location:
  • Phone: 402-572-4019
  • Fax: 402-965-8594
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 Number355
License Number StateNE

VIII. Authorized Official

Name: LINDA M SHEEHAN
Title or Position: CITY CLERK
Credential:
Phone: 402-267-5152