MEDICARE: CITY OF PIERCE

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	268	NE
2	146N00000X	Basic Emergency Medical Technician	1235	NE

General Provider Information

NPI Number	:	1821027095
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF PIERCE

Provider Business Mailing Address
First Line	:	P.O. BOX 98
Second Line	:	106 SO. 1ST STREET
City	:	PIERCE
State	:	NE
Zip	:	68767-0098
Country	:	US
Telephone Number	:	402-329-4400
Fax Number	:	402-329-4634

Provider Business Practice Location Address
First Line	:	106 SO. 1ST STREET
Second Line	:
City	:	PIERCE
State	:	NE
Zip	:	68767-0098
Country	:	US
Telephone Number	:	402-329-4400
Fax Number	:	402-329-4634

Authorized Official
Title or Position	:	BILLING CLERK
Name	:	MRS. RHONDA L. ROWLEY
Credential	:	EMT-B
Telephone Number	:	402-329-4738

Provider Enumeration Date	:	07/01/2006
Last Update Date	:	03/15/2024

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Directions to “CITY OF PIERCE ” Practice Location

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