Organization
GREENWOOD VOLUNTEER RESCUE SQUAD
Active
Other names
GREENWOOD VOL RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN L GRELL (TREASURER)
(402) 572-4019
Entity
Organization
Contact information
Practice address
231 BROAD ST, GREENWOOD, NE 68366-2622
(402) 572-4019
(402) 965-8594
Mailing address
PO BOX 641880, OMAHA, NE 68164-7880
(402) 572-4019
(402) 965-8594
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09363
BLUE CROSS PROVIDER #
NE
01
—
590014025
RR MEDICARE PROVIDER #
NE
Enumeration date
01/18/2006
Last updated
10/27/2010
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