Organization
CITY OF GENOA
Active
Organization
CITY OF GENOA
Active
Other names
GENOA RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA L JOHNSON (SECRETARY)
(402) 572-4019
Entity
Organization
Contact information
Practice address
516 WILLARD AVE, GENOA, NE 68640-3039
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 190, GENOA, NE 68640-0190
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09253
BCBS PROVIDER NUMBER
NE
Enumeration date
03/07/2006
Last updated
08/22/2020
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