Organization
VILLAGE OF OVERTON
Active
Other names
OVERTON VOL. FIRE AND RESCUE DEPTS.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL D BEAVERS (ASST. CHIEF)
(531) 895-5853
Entity
Organization
Contact information
Practice address
502 D. STREET, OVERTON, NE 68863
(402) 572-4019
(402) 965-8594
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(531) 895-5853
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1222
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS PROVIDER ENROLLMENT
NE
05
—
PENDING
—
NE
Enumeration date
10/24/2006
Last updated
01/28/2025
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