Organization
CITY OF CENTRAL CITY
Active
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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