Organization
VILLAGE OF SHELTON
Active
Other names
SHELTON VOLUNTEER FIRE & RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE WITTE (CAPTAIN)
(308) 233-2218
Entity
Organization
Contact information
Practice address
218 C ST, SHELTON, NE 68876-9611
(402) 572-4019
(402) 991-0719
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 991-0719
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5108
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025276600
—
NE
01
—
39404
BLUE CROSS PROVIDER NO
NE
Enumeration date
03/22/2006
Last updated
04/23/2011
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