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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