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General NPI Number Information
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NPI Number | 1447211834
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Entity Type | Organization
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Legal Business Name | CITY OF WOOD RIVER
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 410 GREEN ST
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City | WOOD RIVER
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State | NE
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Zip | 68883
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Country | US
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Telephone | 308-380-0509
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Fax | 402-965-8594
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Provider Business Mailing Address
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Address Line | P.O. BOX 8 410 GREEN ST
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City | WOOD RIVER
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State | NE
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Zip | 68883-0008
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Country | US
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Telephone | 308-380-0509
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Fax | 402-965-8594
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Authorized Official
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Title or Position | RESCUE CAPTAIN
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Name | NICK LAMMERS
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Credential |
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Telephone | 308-380-0509
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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 | 5060
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License Number State | NE
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