KENOSHA COUNTY SCOUT LEADERS RESCUE SQUAD INC NPI 1194814335

NPI Information

KENOSHA COUNTY SCOUT LEADERS RESCUE SQUAD, INC is an ambulance in Kenosha, WI. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). KENOSHA COUNTY SCOUT LEADERS RESCUE SQUAD, INC NPI is 1194814335. The provider is registered as an organization entity type.
The provider Is Doing Business As Scout Leaders Rescue Squad, Inc.

The provider's business location address is:

3003 45TH STREET
KENOSHA, WI
ZIP 53144
Phone: (262) 694-7789

The provider's authorized official is Carson Rohde .
The authorized official title is President and has the following contact phone number (262) 694-7789.

The CLIA number assigned to this NPI record is 52D0996371 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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