INTERSTATE EMS OF PRAIRIE DU CHIEN INC. NPI 1205890621

NPI Information

NPI: 1205890621
Provider Name: INTERSTATE EMS OF PRAIRIE DU CHIEN, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1109 S 13TH ST
PRAIRIE DU CHIEN, WI
ZIP 53821
Phone: (608) 326-5422
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INTERSTATE EMS OF PRAIRIE DU CHIEN, INC. is a land transport ambulance in Prairie Du Chien, WI. INTERSTATE EMS OF PRAIRIE DU CHIEN, INC. NPI is 1205890621. The provider is registered as an organization entity type.

The provider's business location address is:

1109 S 13TH ST
PRAIRIE DU CHIEN, WI
ZIP 53821-526
Phone: (608) 326-5422

The provider's authorized official is Delores Kussmaul .
The authorized official title is Emt-intermediate and has the following contact phone number (608) 326-5422.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 8/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	6001361	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41353500	MEDICAID	WISCONSIN
2	000082106	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	AMBULANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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