Organization
DECATUR RURAL FIRE DEPT.
Active
Organization
DECATUR RURAL FIRE DEPT.
Active
Other names
DECATUR VOL. FIRE AND RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
KYLEA PUNKE (RESCUE CAPTAIN)
(402) 313-9023
Entity
Organization
Contact information
Practice address
1012 S BROADWAY ST, DECATUR, NE 68020-2095
(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
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09304
BLUE CROSS PROVIDER NO
—
05
—
10025095200
—
NE
01
—
1091
SQUAD LICENSE
NE
Enumeration date
10/21/2005
Last updated
02/12/2024
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