Organization
CITY OF OMAHA
Active
Other names
Omaha Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE NUNEZ (CREDENTIALING MANAGER)
(914) 432-8453
Entity
Organization
Contact information
Practice address
1516 JACKSON ST, OMAHA, NE 68102-3110
(402) 444-5700
(402) 444-6378
Mailing address
PO BOX 30206, OMAHA, NE 68103-1306
(402) 444-5700
(402) 444-6378
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5043
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
590006716
RAILROAD MEDICARE
—
01
—
90421
BLUE CROSS - BLUE SHIELD
NE
Enumeration date
10/25/2006
Last updated
05/19/2022
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