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Organization

COLERIDGE AMBULANCE SERVICE

Active
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Organization

COLERIDGE AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE R HEFNER (CHAIRMAN OF VILLAGE BOARD)
(402) 283-4464
Entity
Organization

Contact information

Practice address
217 EAST BROADWAY ST., COLERIDGE, NE 68727-0276
(402) 283-4464
(402) 283-4464
Mailing address
PO BOX 276, 217 EAST BROADWAY ST., COLERIDGE, NE 68727-0276
(402) 283-4464
(402) 283-4464

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100250807-00
NE
Enumeration date
03/27/2007
Last updated
08/22/2020
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