Organization
CITY OF FRIEND
Active
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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