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Organization

PALMYRA RESCUE SERVICE

Active
Other names
PALMYRA RESCUE SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD A HARTWICK (CHIEF)
(402) 572-4019
Entity
Organization

Contact information

Practice address
5TH & C ST., PALMYRA, NE 68418
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1227
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09321
BCBS PROVIDER NUMBER
NE
Enumeration date
08/07/2006
Last updated
08/22/2020
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