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DOUGLAS RESCUE
NPI 1568452316
Ambulance - Land Transport in Douglas, NE

Active since October 24, 2005CLIA 28D1077953 · Waiver
104 MAIN STREET, DOUGLAS, NE 68344(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: September 06, 2026.

About Douglas Rescue NPPES

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

DOUGLAS RESCUE (NPI 1568452316) is a healthcare organization registered as a land transport in Douglas, Nebraska and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Kevin Hartman, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1568452316
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF DOUGLAS
Location Address104 MAIN STREETDouglas, NE 68344
Mailing Address1120 N RdDouglas, NE 68344-8936 · (402) 572-4019 · Fax (402) 965-8594
Phone(402) 572-4019
Fax(402) 965-8594
Organization SubpartNo
Authorized OfficialKevin HartmanTreasurer · (402) 572-4019
Enumeration DateOctober 24, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568452316 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 · 1098
104 MAIN STREET, Douglas, NE 68344
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Other Names 1

Doing Business AsDouglas Rescue

Other Identifiers 2

Other09350Blue Cross Provider No
Medicaid10025076200NE

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 28D1077953

Douglas Rescue · Douglas, NE
Active · expires Dec 20, 2027
CLIA Number28D1077953
Laboratory TypeAmbulance
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorRandy Holdsworth
Laboratory Phone(402) 799-2800
Laboratory LocationDouglas Rescue104 Main Street, Douglas, NE 68344
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Douglas's NPI number?

The NPI number for Village Of Douglas is 1568452316. It was assigned to this organization in the NPPES registry on October 24, 2005. The provider is doing business as Douglas Rescue.

Where is Village Of Douglas located?

Village Of Douglas is located at 104 Main Street, Douglas, NE 68344. The listed phone number is (402) 572-4019.

What is Village Of Douglas's specialty?

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

Does Village Of Douglas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D1077953) is associated with this NPI, valid through December 20, 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 Douglas was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.