WAUSAUKEE RESCUE SQUAD INC. NPI 1235307612

NPI Information

NPI: 1235307612
Provider Name: WAUSAUKEE RESCUE SQUAD, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 52D0982546

Address:
429 HARRISON AVE.
WAUSAUKEE, WI
ZIP 54177
Phone: (715) 856-5035
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WAUSAUKEE RESCUE SQUAD, INC. is a land transport ambulance in Wausaukee, WI. WAUSAUKEE RESCUE SQUAD, INC. NPI is 1235307612. The provider is registered as an organization entity type.

The provider's business location address is:

429 HARRISON AVE.
WAUSAUKEE, WI
ZIP 54177
Phone: (715) 856-5035
Fax: (715) 856-5010

The provider's authorized official is Jennifer Lynn Madden .
The authorized official title is Administrator and has the following contact phone number (715) 856-5035.

The CLIA number assigned to this NPI record is 52D0982546 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 9/4/2014.

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	60-00091	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	00083209	MEDICARE PIN	WISCONSIN
2	41329000	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: 4/28/2024

NPI Synchronization or Removal

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