Provider Demographics
NPI:1104699545
Name:PIONEER AMBULANCE SERVICE, LLC
Entity type:Organization
Organization Name:PIONEER AMBULANCE SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSULD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-345-6666
Mailing Address - Street 1:4420 IZARD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1018
Mailing Address - Country:US
Mailing Address - Phone:402-345-6666
Mailing Address - Fax:402-731-6302
Practice Address - Street 1:4420 IZARD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-1018
Practice Address - Country:US
Practice Address - Phone:402-345-6666
Practice Address - Fax:402-731-6302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance