MEDICARE: VILLAGE OF LOUISVILLE

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09478	OTHER	NE	BCBS PROVIDER NUMBER

General Provider Information

NPI Number	:	1689637456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF LOUISVILLE

Provider Business Mailing Address
First Line	:	PO BOX 370
Second Line	:
City	:	LOUISVILLE
State	:	NE
Zip	:	68037
Country	:	US
Telephone Number	:	402-234-7705
Fax Number	:	402-234-2221

Provider Business Practice Location Address
First Line	:	122 MAIN STREET
Second Line	:
City	:	LOUISVILLE
State	:	NE
Zip	:	68037
Country	:	US
Telephone Number	:	402-234-7705
Fax Number	:	402-234-2221

Authorized Official
Title or Position	:	CITY TREASURER/CLERK
Name	:	DEE ANN ARIAS
Credential	:
Telephone Number	:	402-234-7705

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	07/05/2023

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Directions to “VILLAGE OF LOUISVILLE ” Practice Location

Language	Start Address	Practice Location

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