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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