Organization
THE COUNTY OF THAYER
Active
Other names
Thayer County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY D. HERGOTT EMT (DIRECTOR)
(402) 768-6060
Entity
Organization
Contact information
Practice address
225 N. 4TH STREET, HEBRON, NE 68370-0201
(402) 768-6060
(402) 768-6071
Mailing address
P.O. BOX 201, HEBRON, NE 68370-0201
(402) 768-6060
(402) 768-6071
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1295
NE
341600000X
Ambulance
Primary
—
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009494
BLUE CROSS BLUE SHIELD
NE
01
—
590921898
RAILRAD MEDICARE
NE
01
—
F242250
MIDLANDS CHOICE
NE
Enumeration date
09/27/2006
Last updated
01/26/2009
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