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Organization

CITY OF PONCA

Active
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Organization

CITY OF PONCA

Active
Other names
PONCA RESCUE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
JESS KASTNING (RESCUE CAPTAIN)
(877) 218-4392
Entity
Organization

Contact information

Practice address
111 S NEBRASKA ST, PONCA, NE 68770-7286
(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
3416L0300X
Land Ambulance
Primary
1244
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09376
BLUE CROSS PROVIDER NO
NE
Enumeration date
03/24/2006
Last updated
09/17/2024
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