Organization
SARGENT AMBULANCE
Active
Other names
Sargent Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN KOLAR (SECRETARY/TREASURER)
(308) 527-3647
Entity
Organization
Contact information
Practice address
200 N 2ND ST, SARGENT, NE 68874-0000
(308) 527-3647
Mailing address
PO BOX 175, SARGENT, NE 68874-0175
(308) 527-3647
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1257
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09462
BCBS OF NEBRASKA
NE
05
—
476006346-00
—
NE
01
—
590015488
RR MEDICARE
NE
Enumeration date
08/28/2013
Last updated
08/28/2013
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