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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