Organization
COUNTY OF GOSPER
Active
Other names
ELWOOD RESCUE UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E KNOERZER (SEC/TREAS)
(402) 572-4019
Entity
Organization
Contact information
Practice address
507 RIPLEY ST, ELWOOD, NE 68937-5700
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
333
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09310
BLUE CROSS PROVIDER
NE
05
—
10025234400
—
NE
Enumeration date
11/28/2005
Last updated
05/13/2013
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