1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Ambulance
  6. NPI Profile

PONCA HILLS VOLUNTEER FIRE DEPT
NPI 1942676648
Ambulance - Land Transport in Omaha, NE

Active since August 17, 2015CLIA 28D0982557 · Waiver
12919 PONCA RD, OMAHA, NE 68112(402) 679-7558 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ponca Hills Volunteer Fire Dept NPPES

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

PONCA HILLS VOLUNTEER FIRE DEPT (NPI 1942676648) is a healthcare organization registered as a land transport in Omaha, Nebraska and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Michael Pallas, President, as its authorized official.

NPPES Registry Identity

NPI1942676648
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NamePONCA HILLS FIRE DISTRICT
Location Address12919 PONCA RDOmaha, NE 68112-1056
Mailing Address10802 Farnam DrOmaha, NE 68154-3237 · (877) 218-4392 · Fax (877) 343-0131
Phone(402) 679-7558
Organization SubpartNo
Authorized OfficialMichael PallasPresident · (402) 453-6656
Enumeration DateAugust 17, 2015
Last NPPES UpdateFebruary 7, 2023
NPPES CertifiedFebruary 7, 2023
✔ NPI 1942676648 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 · 5110
12919 PONCA RD, Omaha, NE 68112
Open in Google Maps ↗

Other Names 1

Doing Business AsPonca Hills Volunteer Fire Dept

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 28D0982557

Ponca Hills Volunteer Fire Dept · Omaha, NE
Active · expires Jan 29, 2027
CLIA Number28D0982557
Laboratory TypeAmbulance
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorLeslie Hogberg
Laboratory Phone(402) 453-6656
Laboratory LocationPonca Hills Volunteer Fire Dept12919 Ponca Road, Omaha, NE 68112
CLIA data matches this NPI record on: Address Name Phone
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.
182 services18 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.
20 services17 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PONCA HILLS VOLUNTEER FIRE DEPARTMENT
Ambulance (Land Transport)
12919 PONCA RD
OMAHA, NE 68112
Douglas County (402) 572-4019

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 Ponca Hills Fire District's NPI number?

The NPI number for Ponca Hills Fire District is 1942676648. It was assigned to this organization in the NPPES registry on August 17, 2015. The provider is doing business as Ponca Hills Volunteer Fire Dept.

Where is Ponca Hills Fire District located?

Ponca Hills Fire District is located at 12919 Ponca Rd, Omaha, NE 68112. The listed phone number is (402) 679-7558.

What is Ponca Hills Fire District's specialty?

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

Does Ponca Hills Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0982557) is associated with this NPI, valid through January 29, 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 Ponca Hills Fire District was last updated on February 7, 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.