Organization
VILLAGE OF PETERSBURG
Active
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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