# CITY OF SAINT PAUL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ST PAUL RESCUE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356457212
- **Authorized official:** JACQUELINE MAYBERRY (RESCUE CLERK)
- **Authorized official phone:** (402) 572-4019

## Contact information

- **Practice address:** 704 6TH ST, SAINT PAUL, NE 68873-2015
- **Practice address phone:** (402) 572-4019
- **Practice address fax:** (402) 965-8594
- **Mailing address:** PO BOX 641880, OMAHA, NE 68164-7880
- **Mailing address phone:** (402) 572-4019
- **Mailing address fax:** (402) 965-8594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1278 | NE | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 01/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09431 | BLUE CROSS PROVIDER NO | NE |
| 01 | — | P00101979 | RAILROAD MEDICARE PROVIDE | NE |