MEDICARE: BLOOMFIELD AMBULANCE SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	5010	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	39414	OTHER	NE	BCBS OF NE

General Provider Information

NPI Number	:	1164501334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOOMFIELD AMBULANCE SERVICE

Provider Business Mailing Address
First Line	:	PO BOX 251 211 NORTH BROADWAY
Second Line	:
City	:	BLOOMFIELD
State	:	NE
Zip	:	68718-0251
Country	:	US
Telephone Number	:	402-373-4542
Fax Number	:	402-373-2421

Provider Business Practice Location Address
First Line	:	211 NORTH BROADWAY
Second Line	:
City	:	BLOOMFIELD
State	:	NE
Zip	:	68718-0251
Country	:	US
Telephone Number	:	402-373-4542
Fax Number	:	402-373-2421

Authorized Official
Title or Position	:	SECRETARY TREASURER
Name	:	MS. NORMA ANN OBER
Credential	:	EMT
Telephone Number	:	402-373-4542

Provider Enumeration Date	:	11/06/2006
Last Update Date	:	08/21/2012

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Directions to “BLOOMFIELD AMBULANCE SERVICE ” Practice Location

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