SCENIC VALLEY EMERGENCY MEDICAL SERVICES INCORPORATED NPI 1326093824

NPI Information

NPI: 1326093824
Provider Name: SCENIC VALLEY EMERGENCY MEDICAL SERVICES INCORPORATED
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 52D0993803

Address:
102 E 5TH ST
COCHRANE, WI
ZIP 54622
Phone: (715) 248-3576
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SCENIC VALLEY EMERGENCY MEDICAL SERVICES INCORPORATED is a land transport ambulance in Cochrane, WI. SCENIC VALLEY EMERGENCY MEDICAL SERVICES INCORPORATED NPI is 1326093824. The provider is registered as an organization entity type.

The provider's business location address is:

102 E 5TH ST
COCHRANE, WI
ZIP 54622
Phone: (715) 248-3576

The provider's authorized official is Cecilia Novinski .
The authorized official title is President and has the following contact phone number (608) 248-3576.

The CLIA number assigned to this NPI record is 52D0993803 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 4/20/2008.

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	=========010	OTHER		BCBS
2	=========010	OTHER		VALLEY HEALTH PLAN
3	=========	OTHER		MEDICA
4	WI0101	OTHER		JOHN DEERE
5	41338600	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

NPI Synchronization or Removal

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