Organization
CITY OF CENTRAL CITY
Active
Other names
CENTRAL CITY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
BEN KOLAR (DIRECTOR)
(308) 850-0398
Entity
Organization
Contact information
Practice address
1616 16TH AVE, CENTRAL CITY, NE 68826-1818
(877) 218-4392
(877) 343-0131
Mailing address
10802 FARNAM DR, OMAHA, NE 68154-3237
(531) 895-5853
(877) 343-0131
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5112
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09377
BLUE CROSS PROVIDER NO
—
01
—
590121096
RAILROAD MEDICARE PROV NO
—
Enumeration date
10/20/2005
Last updated
04/21/2023
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