Organization
CITY OF FARNAM
Active
Organization
CITY OF FARNAM
Active
Other names
FARNAM RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDRA S TORDRUP (PRESIDENT)
(402) 572-4019
Entity
Organization
Contact information
Practice address
213 MAIN ST, FARNAM, NE 69029
(402) 572-4019
(402) 965-8594
Mailing address
P O BOX 641880, OMAHA, NE 68164
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1117
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09298
BLUE CROSS BLUE SHIELD
NE
05
—
10025556100
—
NE
Enumeration date
04/18/2007
Last updated
05/12/2008
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