Organization
PONCA HILLS VOLUNTEER FIRE DEPARTMENT
Active
Other names
PONCA HILLS VOLUNTEER FIRE DEPT.
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL E SACKS (FIRE CHIEF)
(402) 572-4019
Entity
Organization
Contact information
Practice address
12919 PONCA RD, OMAHA, NE 68112-1056
(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
5110
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39411
BLUE CROSS PROVIDER NO
NE
Enumeration date
11/01/2006
Last updated
04/28/2010
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