Organization
CITY OF SYRACUSE
Active
Other names
SYRACUSE RESCUE SERVICE, INC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A WILSON (CHIEF)
(308) 440-5573
Entity
Organization
Contact information
Practice address
578 MOHAWK ST, SYRACUSE, NE 68446-9313
(402) 269-2173
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(531) 895-5853
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1290
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447456249
BLUE CROSS PROVIDER NUMBER
NE
Enumeration date
06/27/2007
Last updated
05/23/2023
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