Provider Demographics
NPI:1144332669
Name:PLAINVIEW RURAL FIRE PROTECTION
Entity type:Organization
Organization Name:PLAINVIEW RURAL FIRE PROTECTION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RECSCUE CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FRIEDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-582-4702
Mailing Address - Street 1:PO BOX 641880
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68164-7880
Mailing Address - Country:US
Mailing Address - Phone:402-572-4019
Mailing Address - Fax:402-965-8594
Practice Address - Street 1:802 W PARK AVE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NE
Practice Address - Zip Code:68769-4205
Practice Address - Country:US
Practice Address - Phone:402-582-4219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14293416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE39478OtherBCBS PROVIDER NUMBER
NE10025358300Medicaid
NE39478OtherBCBS PROVIDER NUMBER