GREAT LAKES EMS INC. NPI 1972845337

NPI Information

  • NPI: 1972845337
  • Provider Name: GREAT LAKES EMS INC.
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Other Name: ACTION SPORTS EMS
  • Address: W521 HACKER ROAD
    410
    BRILLION, WI
    ZIP 54110
  • Phone: (715) 889-4491

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NPI Details

GREAT LAKES EMS INC. is a land transport ambulance in Brillion, WI. GREAT LAKES EMS INC. NPI is 1972845337. The provider is registered as an organization entity type.
The provider Other Name Is Action Sports Ems.

The provider's business location address is:

W521 HACKER ROAD
410
BRILLION, WI
ZIP 54110-136
Phone: (715) 889-4491
Fax: (855) 425-3066

The provider's authorized official is Ryan C Mc Clintock .
The authorized official title is Director and has the following contact phone number (715) 889-4491.

The enumeration date for this NPI number is 3/25/2013 and was last updated on 2/8/2021.

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
13416L0300XAmbulanceLand Transport6604935WISCONSINNo
23416L0300XAmbulanceLand Transport03 3099ILLINOISYes

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: 11/21/2025

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