Organization
VILLAGE OF PETERSBURG
Active
Other names
PETERSBURG FIRE AND RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FANGMAN (EMS CAPTAIN)
(531) 895-5853
Entity
Organization
Contact information
Practice address
226 E MAIN ST, PETERSBURG, NE 68652
(402) 386-5287
(402) 965-8594
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1233
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09312
BLUE CROSS PROVIDER NE
NE
01
—
590014780
RR MEDICARE PROVIDER NO
—
Enumeration date
02/12/2007
Last updated
08/14/2025
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