VILLAGE OF WALWORTH NPI 1144273012

NPI Information

NPI: 1144273012
Provider Name: VILLAGE OF WALWORTH

Doing Business As: WALWORTH RESCUE SQUAD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
247 N MAIN ST
WALWORTH, WI
ZIP 53184
Phone: (262) 275-3838
Get Directions

VILLAGE OF WALWORTH is a land transport ambulance in Walworth, WI. VILLAGE OF WALWORTH NPI is 1144273012. The provider is registered as an organization entity type.
The provider Is Doing Business As Walworth Rescue Squad.

The provider's business location address is:

247 N MAIN ST
WALWORTH, WI
ZIP 53184-781
Phone: (262) 275-3838

The provider's authorized official is Jim Schwartz .
The authorized official title is Chief and has the following contact phone number (262) 275-3838.

The CLIA number assigned to this NPI record is 52D1058717 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 6/19/2008.

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			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	000080021	MEDICARE ID-TYPE UNSPECIFIED		MEDICARE
2	P00096257	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE
3	=========001	MEDICAID	ILLINOIS
4	=========012	OTHER		VALLEY HEALTH PLAN
5	41359900	OTHER	WISCONSIN	HIRSP
6	=========012	OTHER		BCBS
7	000080021	OTHER		ADVOCARE MCHMO
8	41359900	MEDICAID	WISCONSIN

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

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