Organization
CITY OF CEDAR RAPIDS
Active
Other names
CEDAR RAPIDS RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LYNNE KENNEDY (EMT BILLING)
(402) 572-4019
Entity
Organization
Contact information
Practice address
425 MAIN STREET, CEDAR RAPIDS, NE 68627-0003
(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
1056
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09322
BCBS PROVIDER NUMBER
NE
Enumeration date
02/16/2007
Last updated
08/22/2020
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