Provider Demographics
NPI:1992973093
Name:WYNOT AMBULANCE SERVICE
Entity type:Organization
Organization Name:WYNOT AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-841-9094
Mailing Address - Street 1:PO BOX 101
Mailing Address - Street 2:
Mailing Address - City:WYNOT
Mailing Address - State:NE
Mailing Address - Zip Code:68792-0101
Mailing Address - Country:US
Mailing Address - Phone:402-357-2429
Mailing Address - Fax:402-357-2415
Practice Address - Street 1:209 SAINT JAMES AVE
Practice Address - Street 2:
Practice Address - City:WYNOT
Practice Address - State:NE
Practice Address - Zip Code:68792-2049
Practice Address - Country:US
Practice Address - Phone:402-357-2429
Practice Address - Fax:402-357-2415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13353416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE091887Medicare PIN