Organization
PONCA HILLS VOLUNTEER FIRE DEPARTMENT
Active
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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