Provider Demographics
NPI:1134260276
Name:RALSTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Entity type:Organization
Organization Name:RALSTON VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EISCHEID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-331-5369
Mailing Address - Street 1:10802 FARNAM DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-3237
Mailing Address - Country:US
Mailing Address - Phone:877-218-4392
Mailing Address - Fax:877-343-0131
Practice Address - Street 1:7629 PARK DR
Practice Address - Street 2:
Practice Address - City:RALSTON
Practice Address - State:NE
Practice Address - Zip Code:68127-3943
Practice Address - Country:US
Practice Address - Phone:402-331-5369
Practice Address - Fax:877-343-0131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE50473416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09327OtherBLUE CROSS PROVIDER
590013339OtherRR MEDICARE PROVIDER NO
590013339OtherRR MEDICARE PROVIDER NO
NE=========00Medicaid