Organization
CITY OF WAKEFIELD
Active
Parent organization
CITY OF WAKEFIELD
Other names
Wakefield Rescue Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF WAKEFIELD
Authorized official
MRS. TEREAA L SODERBERG (RESCUE CAPT)
(402) 369-1526
Entity
Organization
Contact information
Practice address
405 MAIN ST, WAKEFIELD, NE 68784-6025
(402) 287-2953
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4760640100
—
NE
01
—
9495
BC/BS OF NEBRASKA
NE
Enumeration date
10/23/2006
Last updated
07/16/2019
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