WAHOO RESCUE SQUAD
NPI 1477542645
Ambulance - Land Transport in Wahoo, NE

Active since October 19, 2005CLIA 28D2017389 · Waiver
158 W 6TH ST, WAHOO, NE 68066(877) 218-4392(877) 343-0131 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wahoo Rescue Squad NPPES

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

WAHOO RESCUE SQUAD (NPI 1477542645) is a healthcare organization registered as a land transport in Wahoo, Nebraska and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Grant Anderson, Director Of Ems, as its authorized official.

NPPES Registry Identity

NPI1477542645
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF WAHOO
Location Address158 W 6TH STWahoo, NE 68066-1647
Mailing Address10802 Farnam DrOmaha, NE 68154-3237 · (877) 218-4392 · Fax (877) 343-0131
Fax(877) 343-0131
Organization SubpartNo
Authorized OfficialGrant AndersonDirector Of Ems · (402) 217-8606
Enumeration DateOctober 19, 2005
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
NPI 1477542645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
158 W 6TH ST, Wahoo, NE 68066

Other Names 1

Doing Business AsWahoo Rescue Squad

Other Identifiers 3

Medicaid10025282400NE
Other5138NE · Ne. State License
Other09409NE · Blue Cross Provider No

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 28D2017389

Wahoo Rescue Squad · Wahoo, NE
Active · expires Dec 9, 2026
CLIA Number28D2017389
Laboratory TypeAmbulance
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMr. Grant Anderson
Laboratory Phone(402) 443-1520
Laboratory LocationWahoo Rescue Squad605 North Broadway, Wahoo, NE 68066
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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.
2,278 services125 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.
96 services70 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
42 services41 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
33 services27 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
14 services13 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 City Of Wahoo's NPI number?

The NPI number for City Of Wahoo is 1477542645. It was assigned to this organization in the NPPES registry on October 19, 2005. The provider is doing business as Wahoo Rescue Squad.

Where is City Of Wahoo located?

City Of Wahoo is located at 158 W 6th St, Wahoo, NE 68066. The listed phone number is (877) 218-4392.

What is City Of Wahoo's specialty?

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

Does City Of Wahoo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2017389) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for City Of Wahoo was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.