Provider Demographics
NPI:1861786709
Name:LINDSAY VOL FIRE & RESCUE DEPT
Entity type:Organization
Organization Name:LINDSAY VOL FIRE & RESCUE DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SQUAD CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:W
Authorized Official - Last Name:KURTENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-428-4010
Mailing Address - Street 1:121 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:NE
Mailing Address - Zip Code:68644-4625
Mailing Address - Country:US
Mailing Address - Phone:402-428-4010
Mailing Address - Fax:
Practice Address - Street 1:121 PINE ST
Practice Address - Street 2:
Practice Address - City:LINDSAY
Practice Address - State:NE
Practice Address - Zip Code:68644-4625
Practice Address - Country:US
Practice Address - Phone:402-428-4010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE OF LINDSAY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025663000Medicaid