# COMSTOCK RURAL FIRE DEPARTMENT AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comstock Rescue Squad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730184631
- **Authorized official:** PERRY ERICKSON (TREASURER)
- **Authorized official phone:** (308) 628-4340

## Contact information

- **Practice address:** 45989 HIGHWAY S21C, COMSTOCK, NE 68828-5134
- **Practice address phone:** (308) 215-0254
- **Mailing address:** 403 CHATHAM AVE, BERWYN, NE 68814
- **Mailing address phone:** (308) 935-1569
- **Mailing address fax:** (308) 935-1569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1074 | NE | Yes |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 06/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09365 | BLUECROSS | NE |
| 05 | — | 10024985500 | — | NE |
