Organization
CITY OF BLAIR
Active
Organization
CITY OF BLAIR
Active
Other names
BLAIR RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
TYREL HERNES (CAPTAIN OF EMS)
(402) 278-0606
Entity
Organization
Contact information
Practice address
218 S 16TH ST, BLAIR, NE 68008-2010
(402) 426-4262
(402) 965-8594
Mailing address
PO BOX 402, BLAIR, NE 68008-0402
(402) 426-4262
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5009
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025742500
—
NE
01
—
1679717482
MEDICAID-IA
IA
01
—
290004
BLUE CROSS PROVIDER
NE
Enumeration date
04/23/2009
Last updated
09/30/2025
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