Organization
VILLAGE OF MAXWELL
Active
Other names
MAXWELL VOL AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA BREINIG (TREASURER)
(308) 582-4324
Entity
Organization
Contact information
Practice address
103 W FIRST ST, MAXWELL, NE 69151
(308) 582-4324
(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
1184
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09354
BLUE CROSS PROVIDER NO
NE
01
—
590015318
RAILROAD MEDICARE NO
—
Enumeration date
03/23/2006
Last updated
04/25/2023
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