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Organization

CITY OF SUPERIOR

Active
Other names
City of Superior Ambulance
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA J SCHENDT EMT-B (BILLING CONTRACTOR)
(402) 225-3911
Entity
Organization

Contact information

Practice address
135 W 4TH ST, SUPERIOR, NE 68978-1732
(402) 879-4713
Mailing address
135 W 4TH ST, PO BOX 160, SUPERIOR, NE 68978-1732
(402) 879-4713

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1287
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09454
BLUE CROSS BLUE SHIELD
NE
Enumeration date
04/26/2007
Last updated
03/10/2010
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