Provider Demographics
NPI:1871590315
Name:CITY OF O'NEILL
Entity type:Organization
Organization Name:CITY OF O'NEILL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MAYOR - CITY OF O'NEILL
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-336-3640
Mailing Address - Street 1:401 E FREMONT ST
Mailing Address - Street 2:
Mailing Address - City:ONEILL
Mailing Address - State:NE
Mailing Address - Zip Code:68763-1847
Mailing Address - Country:US
Mailing Address - Phone:402-336-3640
Mailing Address - Fax:402-336-2538
Practice Address - Street 1:401 E FREMONT ST
Practice Address - Street 2:
Practice Address - City:ONEILL
Practice Address - State:NE
Practice Address - Zip Code:68763-1847
Practice Address - Country:US
Practice Address - Phone:402-336-3640
Practice Address - Fax:402-336-2538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-00Medicaid
NE091730Medicare ID - Type Unspecified