Organization
BLAINE COUNTY RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTIN FAY (CAPTAIN)
(531) 895-5853
Entity
Organization
Contact information
Practice address
355 MANDERSON ST, BREWSTER, NE 68821-9999
(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
341600000X
Ambulance
1035
NE
3416L0300X
Land Ambulance
Primary
1035
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39441
BLUECROSS
NE
05
—
=========
—
NE
Enumeration date
06/16/2005
Last updated
10/07/2024
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