Provider Demographics
NPI:1992981351
Name:VILLAGE OF PLATTE CENTER
Entity type:Organization
Organization Name:VILLAGE OF PLATTE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:RESCUE CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-246-9204
Mailing Address - Street 1:PO BOX 166
Mailing Address - Street 2:
Mailing Address - City:PLATTE CENTER
Mailing Address - State:NE
Mailing Address - Zip Code:68653-0166
Mailing Address - Country:US
Mailing Address - Phone:402-246-9204
Mailing Address - Fax:402-246-2087
Practice Address - Street 1:120 E 4TH STREET
Practice Address - Street 2:
Practice Address - City:PLATTE CENTER
Practice Address - State:NE
Practice Address - Zip Code:68653
Practice Address - Country:US
Practice Address - Phone:402-246-2976
Practice Address - Fax:402-246-3208
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VILLAGE OF PLATTE CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-16
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport