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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