# VILLAGE OF SUTHERLAND

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sutherland Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962560789
- **Authorized official:** ROGER LATHROP (FIRE CHIEF)
- **Authorized official phone:** (308) 386-8440

## Contact information

- **Practice address:** 1400 1ST ST, SUTHERLAND, NE 69165-2104
- **Practice address phone:** (308) 386-8440
- **Practice address fax:** (877) 343-0131
- **Mailing address:** 10802 FARNAM DR, OMAHA, NE 68154-3237
- **Mailing address phone:** (877) 218-4392
- **Mailing address fax:** (877) 343-0131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 1288 | NE | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/09/2023