GENOA RESCUE SQUAD
NPI 1487621561
Ambulance - Land Transport in Genoa, NE

Active since March 07, 2006CLIA 28D1071291 · Waiver
516 WILLARD AVE, GENOA, NE 68640(402) 572-4019(402) 965-8594 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Genoa Rescue Squad NPPES

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

GENOA RESCUE SQUAD (NPI 1487621561) is a healthcare organization registered as a land transport in Genoa, Nebraska and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Virginia L Johnson, Secretary, as its authorized official.

NPPES Registry Identity

NPI1487621561
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF GENOA
Location Address516 WILLARD AVEGenoa, NE 68640-3039
Mailing AddressPo Box 190Genoa, NE 68640-0190 · (402) 572-4019 · Fax (402) 965-8594
Fax(402) 965-8594
Organization SubpartNo
Authorized OfficialVirginia L JohnsonSecretary · (402) 572-4019
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1487621561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
516 WILLARD AVE, Genoa, NE 68640

Other Names 1

Doing Business AsGenoa Rescue Squad

Other Identifiers 1

Other09253NE · Bcbs Provider Number

Accepted Insurance

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 28D1071291

Genoa Rescue Squad · Genoa, NE
Active · expires Jul 22, 2027
CLIA Number28D1071291
Laboratory TypeAmbulance
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorBrian Buhlke Do
Laboratory Phone(402) 993-2330
Laboratory LocationGenoa Rescue Squad512 Willard Ave, Genoa, NE 68640
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
130 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.
18 services16 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487621561, enumerated as an "organization" on March 07, 2006.

The provider is located at 516 WILLARD AVE GENOA, NE 68640 and the phone number is (402) 572-4019.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Nebraska, Blue Cross. Please consult your insurance carrier or call the provider to verify.