Organization
LOUP CITY, ASHTON & ROCKVILLE COOPERATIVE AMBULANCE SERVICE
Active
Other names
Loup City Coop Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TJADE RODOCKER (ASST. CAPTAIN)
(308) 645-7209
Entity
Organization
Contact information
Practice address
940 P ST, LOUP CITY, NE 68853-8006
(308) 745-0338
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
1017
NE
3416L0300X
Land Ambulance
Primary
1178
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09378
BCBS
—
Enumeration date
04/17/2007
Last updated
04/19/2024
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