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Organization

CITY OF SAINT PAUL

Active
Other names
ST PAUL RESCUE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
JACQUELINE MAYBERRY (RESCUE CLERK)
(402) 572-4019
Entity
Organization

Contact information

Practice address
704 6TH ST, SAINT PAUL, NE 68873-2015
(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
341600000X
Ambulance
Primary
1278
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09431
BLUE CROSS PROVIDER NO
NE
01
P00101979
RAILROAD MEDICARE PROVIDE
NE
Enumeration date
08/22/2006
Last updated
01/26/2011
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