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Organization
COMSTOCK RURAL FIRE DEPARTMENT AMBULANCE
Active
Organization
COMSTOCK RURAL FIRE DEPARTMENT AMBULANCE
Active
Other names
Comstock Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY ERICKSON (TREASURER)
(308) 628-4340
Entity
Organization
Contact information
Practice address
45989 HIGHWAY S21C, COMSTOCK, NE 68828-5134
(308) 215-0254
Mailing address
403 CHATHAM AVE, BERWYN, NE 68814
(308) 935-1569
(308) 935-1569
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1074
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09365
BLUECROSS
NE
05
—
10024985500
—
NE
Enumeration date
06/16/2005
Last updated
06/07/2011
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