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General NPI Number Information
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NPI Number | 1104923473
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Entity Type | Organization
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Legal Business Name | HEARTLAND EMS INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 510 E 22ND ST
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City | FREMONT
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State | NE
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Zip | 68025-2638
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Country | US
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Telephone | 402-727-5534
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Fax | 402-727-4725
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Provider Business Mailing Address
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Address Line | 510 E 22ND ST
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City | FREMONT
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State | NE
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Zip | 68025-2638
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Country | US
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Telephone | 402-727-5534
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Fax | 402-727-4725
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY P RHOADS
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Credential | NREMT-P
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Telephone | 402-727-5534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 5025
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License Number State | NE
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