PRAIRIE DU CHIEN RESCUE SQUAD INC NPI 1740231026

NPI Information

NPI: 1740231026
Provider Name: PRAIRIE DU CHIEN RESCUE SQUAD INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
528 S STATE ST
PRAIRIE DU CHIEN, WI
ZIP 53821
Phone: (608) 326-4441
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PRAIRIE DU CHIEN RESCUE SQUAD INC is a land transport ambulance in Prairie Du Chien, WI. PRAIRIE DU CHIEN RESCUE SQUAD INC NPI is 1740231026. The provider is registered as an organization entity type.

The provider's business location address is:

528 S STATE ST
PRAIRIE DU CHIEN, WI
ZIP 53821-130
Phone: (608) 326-4441

The provider's authorized official is Susan Koresh .
The authorized official title is President and has the following contact phone number (608) 326-4441.

The enumeration date for this NPI number is 5/12/2006 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	=========011	OTHER		BCBS
2	0980672	MEDICAID	IOWA
3	WI0100	OTHER		JOHN DEERE
4	41349300	MEDICAID	WISCONSIN
5	=========011	OTHER		VALLEY HEALTH PLAN
6	41349300	OTHER	WISCONSIN	HIRSP
7	1012582	OTHER		PHYSICIAN'S PLUS
8	=========	OTHER		PGBA
9	=========011	OTHER		MEDICARE BLUE MCHMO

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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