Organization
CRAIG RURAL FIRE DISTRICT
Active
Other names
CRAIG RESCUE UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI JOHANSEN (RESCUE CAPTAIN)
(402) 870-1711
Entity
Organization
Contact information
Practice address
333 SOUTH MAIN STREET, CRAIG, NE 68019
(402) 572-4019
(402) 965-8594
Mailing address
2590 COUNTY ROAD H, TEKAMAH, NE 68061-5021
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1078
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09361
BLUE CROSS PROVIDER
—
05
—
10025014700
—
NE
01
—
590012571
RAILROAD MEDICARE PROVIDE
—
Enumeration date
10/24/2005
Last updated
05/22/2023
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