VILLAGE OF PENDER NPI 1114030798

NPI Information

  • NPI: 1114030798
  • Provider Name: VILLAGE OF PENDER
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: PENDER RESCUE
  • Address: 314 MAPLE ST
    PENDER, NE
    ZIP 68047
  • Phone: (402) 572-4019

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NPI Details

VILLAGE OF PENDER is a land transport ambulance in Pender, NE. VILLAGE OF PENDER NPI is 1114030798. The provider is registered as an organization entity type.
The provider Is Doing Business As Pender Rescue.

The provider's business location address is:

314 MAPLE ST
PENDER, NE
ZIP 68047
Phone: (402) 572-4019
Fax: (402) 965-8594

The provider's authorized official is Arden Shadbolt .
The authorized official title is Chairman and has the following contact phone number (402) 572-4019.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 8/16/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport1230NEBRASKAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
109447OTHERNEBRASKABCBS PROVIDER NUMBER
2=========00MEDICAIDNEBRASKA
3091819MEDICARE ID-TYPE UNSPECIFIEDNEBRASKAPROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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