PENDER RESCUE
NPI 1114030798
Ambulance - Land Transport in Pender, NE

Active since August 16, 2006CLIA 28D2295807 · Waiver
314 MAPLE ST, PENDER, NE 68047(402) 572-4019(402) 965-8594 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pender Rescue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENDER RESCUE (NPI 1114030798) is a healthcare organization registered as a land transport in Pender, Nebraska and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 17, 2027 and lists Arden Shadbolt, Chairman, as its authorized official.

NPPES Registry Identity

NPI1114030798
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF PENDER
Location Address314 MAPLE STPender, NE 68047
Mailing AddressPo Box 641880Omaha, NE 68164-7880 · (402) 572-4019 · Fax (402) 965-8594
Fax(402) 965-8594
Organization SubpartNo
Authorized OfficialArden ShadboltChairman · (402) 572-4019
Enumeration DateAugust 16, 2006
Last NPPES UpdateApril 20, 2008
NPI 1114030798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in NE · 1230
314 MAPLE ST, Pender, NE 68047

Other Names 1

Doing Business AsPender Rescue

Other Identifiers 3

Other09447NE · Bcbs Provider Number
Medicaid=========00NE
Medicare ID-Type Unspecified091819NE · Provider Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2295807

Pender Fire/Rescue · Pender, NE
Active · expires Dec 17, 2027
CLIA Number28D2295807
Laboratory TypeAmbulance
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorTerry Mailoux
Laboratory Phone(402) 922-1887
Laboratory LocationPender Fire/Rescue314 Maple Street, Pender, NE 68047
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
646 services15 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
13 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Village Of Pender's NPI number?

The NPI number for Village Of Pender is 1114030798. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Pender Rescue.

Where is Village Of Pender located?

Village Of Pender is located at 314 Maple St, Pender, NE 68047. The listed phone number is (402) 572-4019.

What is Village Of Pender's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Village Of Pender hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2295807) is associated with this NPI, valid through December 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Of Pender was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.