NPI 1083676860

City of Ravenna

Organisation Land Ambulance Ravenna, NE

Practice location

Address: 224 Alba Ave, Ravenna, NE 68869-1304
Phone: (877) 218-4392
Fax: (877) 343-0131
Mailing address: 10802 Farnam Dr, Omaha, NE 68154-3237

Authorised official

Name: Peggy Dethlefs
Title: Captain
Phone: (308) 379-3107

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 5107 (NE)

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Registry record

NPI: 1083676860
Entity type: Organization
NPI issued: 5 Apr 2006
Record last updated: 14 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.