Organization
CITY OF PLATTSMOUTH
Active
Other names
Plattsmouth Volunteer Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL P WOOD NREMT-P (DIRECTOR OF EMS)
(402) 296-6041
Entity
Organization
Contact information
Practice address
127 NORTH 5TH ST, PLATTSMOUTH, NE 68048
(402) 572-4019
(402) 965-8594
Mailing address
136 NORTH 5TH ST, PLATTSMOUTH, NE 68048
(402) 296-6041
(402) 296-2391
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5115
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09453
BLUE CROSS PROVIDER NO
NE
01
—
590121138
RAILROAD MEDICARE NO
—
Enumeration date
03/23/2006
Last updated
10/16/2017
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