Organization
PRAGUE RURAL FIR DISTRICT NO 6
Active
Other names
PRAGUE RESCUE SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD L OURADA JR. (CAPTAIN)
(402) 572-4019
Entity
Organization
Contact information
Practice address
109 S RAILWAY AVENUE, PRAGUE, NE 68050
(402) 663-4844
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
05
—
10025052700
—
NE
01
—
39459
BCBS PROVIDER NUMBER
NE
01
—
P00049106
RAILROAD MEDICARE NUMBER
NE
Enumeration date
04/14/2006
Last updated
03/22/2011
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