Organization
VILLAGE OF HARRISON
Active
Organization
VILLAGE OF HARRISON
Active
Other names
SIOUX COUNTY RESCUE UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY SKAVDAHL (EMS DIRECTOR)
(402) 572-4019
Entity
Organization
Contact information
Practice address
479 MAIN ST, HARRISON, NE 69346
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1268
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39498
BLUE CROSS PROVIDER NO
NE
01
—
P00123229
RR MEDICARE PROVIDER NO
NE
Enumeration date
11/01/2006
Last updated
06/30/2010
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