Provider Demographics
NPI:1386781243
Name:BEAVER VALLEY RURAL FIRE PROTECTION DISTRICT
Entity type:Organization
Organization Name:BEAVER VALLEY RURAL FIRE PROTECTION DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:LARUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEIBBRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-572-4019
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 1:101 EAST AARGON ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:NE
Practice Address - Zip Code:69026
Practice Address - Country:US
Practice Address - Phone:402-572-4019
Practice Address - Fax:402-965-8594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE10263416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEPENDINGMedicaid
NEPENDINGOtherBCBS PROVIDER NUMBER
NEPENDINGOtherBCBS PROVIDER NUMBER