Organization
CITY OF SOUTH SIOUX CITY NEBR
Active
Organization
CITY OF SOUTH SIOUX CITY NEBR
Active
Other names
SOUTH SIOUX CITY FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS KOOPMAN (FIRE CHIEF)
(402) 494-7508
Entity
Organization
Contact information
Practice address
1501 DAKOTA AVE, SOUTH SIOUX CITY, NE 68776-2528
(877) 218-4392
(877) 343-0131
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
1270
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09415
BLUE CROSS LEGACY PROVIDER NUMBER
NE
05
—
10025582100
—
NE
Enumeration date
11/13/2007
Last updated
11/05/2025
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