=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437112802
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VILLAGE OF NEHAWKA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2006
-----------------------------------------------------
Last Update Date | 08/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 735 ELM ST.
-----------------------------------------------------
City | NEHAWKA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-572-4019
-----------------------------------------------------
Fax | 402-965-8594
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7217 O ST
-----------------------------------------------------
City | NEHAWKA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68413-3427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-572-4019
-----------------------------------------------------
Fax | 402-965-8594
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CAPTAIN
-----------------------------------------------------
Name | MS. MCKENNA SOBOTA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 531-895-5853
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 1200
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------