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Organization

ASHLAND RESCUE SQUAD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAT BOONE (SECRETARY/TREASURER)
(402) 944-2849
Entity
Organization

Contact information

Practice address
2402 SILVER ST, ASHLAND, NE 68003-1537
(402) 944-2849
(402) 944-7004
Mailing address
PO BOX 311, ASHLAND, NE 68003-0311
(402) 944-2849
(402) 944-7004

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
244
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0573782
IA
01
09408
BLUE CROSS BLUE SHIELD
NE
01
590121423
MEDICARE ID
Enumeration date
05/10/2006
Last updated
05/07/2008
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