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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