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Organization
CITY OF SAINT PAUL
Active
Organization
CITY OF SAINT PAUL
Active
Other names
ST PAUL RESCUE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE MAYBERRY (RESCUE CLERK)
(402) 572-4019
Entity
Organization
Contact information
Practice address
704 6TH ST, SAINT PAUL, NE 68873-2015
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1278
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09431
BLUE CROSS PROVIDER NO
NE
01
—
P00101979
RAILROAD MEDICARE PROVIDE
NE
Enumeration date
08/22/2006
Last updated
01/26/2011
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