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Organization

CITY OF FRIEND

Active
Other names
Friend Ambulance Service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KELLY PAULSEN (RESCUE CAPTAIN)
(402) 416-1097
Entity
Organization

Contact information

Practice address
300 SPRING ST, FRIEND, NE 68359-1424
(877) 218-4392
(877) 343-0131
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(877) 218-4392
(877) 343-0131

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
1122
NE
3416L0300X
Land Ambulance
Primary
1122
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09392
BLUE CROSS BLUE SHIELD
NE
05
10025676100
NE
Enumeration date
09/14/2006
Last updated
02/21/2023
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