Provider Demographics
NPI:1063810224
Name:EWING RURAL FIRE DISTRICT 5
Entity type:Organization
Organization Name:EWING RURAL FIRE DISTRICT 5
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHRUNK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-640-3975
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:
Practice Address - Street 1:510 E. NEBRASKA STREET
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NE
Practice Address - Zip Code:68735-5566
Practice Address - Country:US
Practice Address - Phone:402-626-7262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE11123416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport