# SYRACUSE RESCUE SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790065878
- **Authorized official:** TIMOTHY A WILSON PARAMEDIC (CHIEF OF OPERATIONS)
- **Authorized official phone:** (308) 440-5573

## Contact information

- **Practice address:** 572 MOHAWK ST, SYRACUSE, NE 68446-9313
- **Practice address phone:** (402) 269-2111
- **Practice address fax:** (402) 269-2111
- **Mailing address:** 572 MOHAWK ST, PO BOX 225, SYRACUSE, NE 68446-9313
- **Mailing address phone:** (402) 269-2111
- **Mailing address fax:** (402) 269-2111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1290 | NE | Yes |

## Other

- **Enumeration date:** 08/22/2011
- **Last updated:** 08/22/2011
