Organization
COMSTOCK RURAL FIRE DEPARTMENT AMBULANCE
Active
Other names
Comstock Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY ERICKSON (TREASURER)
(308) 628-4340
Entity
Organization
Contact information
Practice address
45989 HIGHWAY S21C, COMSTOCK, NE 68828-5134
(308) 215-0254
Mailing address
403 CHATHAM AVE, BERWYN, NE 68814
(308) 935-1569
(308) 935-1569
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1074
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09365
BLUECROSS
NE
05
—
10024985500
—
NE
Enumeration date
06/16/2005
Last updated
06/07/2011
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