MEDICARE: UNION AREA RESCUE

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	3416L0300X	Land Ambulance	1305	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	39451	OTHER	NE	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1558380493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION AREA RESCUE

Provider Business Mailing Address
First Line	:	PO BOX 641880
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68164-7880
Country	:	US
Telephone Number	:	402-572-4019
Fax Number	:	402-965-8594

Provider Business Practice Location Address
First Line	:	500 MAIN STREET
Second Line	:
City	:	UNION
State	:	NE
Zip	:	68455
Country	:	US
Telephone Number	:	402-572-4019
Fax Number	:	402-965-8594

Authorized Official
Title or Position	:	SEC/TREAS.
Name	:	MS. DEIRDRE LYNN BRAZZLE
Credential	:
Telephone Number	:	402-572-4019

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	08/22/2020

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Directions to “UNION AREA RESCUE ” Practice Location

Language	Start Address	Practice Location

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