BOSCOBEL RESCUE SQUAD INC (NPI# 1023424173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023424173 |
| Entity Type | Organization |
| Organization Name | BOSCOBEL RESCUE SQUAD INC |
| Practice Address |
510 Wisconsin Ave Boscobel WI 53805-1248 |
| Mailing Address |
Po Box 12 Boscobel WI 53805-0012 |
| Practice Telephone | 6083752662 |
| Practice Fax Number | 6083752662 |
| Mailing Telephone | 6083752662 |
| Mailing Fax Number | 6083752662 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | JOSHUA BENEDICT ROSKOS (TREASURER) |
| Authorized Official Telephone | 6084851570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6000136 | WI | Transportation Services |
| Street Address |
510 WISCONSIN AVE |
| City | BOSCOBEL |
| State | WI |
| Zip Code | 53805-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746450 | Boscobel Family Dental, LLC | Dentist | 105 E. Bluff Street, Boscobel, WI 53805 | 2016-09-01 |
| 1063821890 | Rebecca Augustine | Pharmacist | 1028 Wisconsin Ave., Boscobel, WI 53805 | 2014-08-06 |
| 1164487856 | Richard A Graf | Urology | 200 W Bluff St, Boscobel, WI 53805 | 2006-04-18 |
| 1932136181 | Marija Zakarija | Emergency Medicine | 205 Parker St, Boscobel, WI 53805 | 2006-06-26 |
| 1386727972 | Dr Michael S Mecikalski Sc | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2006-10-24 |
| 1770873440 | Michael S. Mecikalski | Dentist | 310 Parker Street, Boscobel, WI 53805-0188 | 2011-04-14 |
| 1821458852 | Tammy Shepherd | Licensed Practical Nurse | 501 Chestnut St, Boscobel, WI 53805-1130 | 2016-03-03 |
| 1144382011 | Burton Dale Cox Jr. | Family Medicine | 1101 Morrison Dr, Hsu, Boscobel, WI 53805-1180 | 2006-12-15 |
| 1013490101 | Rebecca Miller LLC | Counselor | 406 Elm St, Boscobel, WI 53805-1216 | 2018-09-13 |
| 1306323803 | Ashley Hady, LLC | Community/Behavioral Health | 406 Elm St, Boscobel, WI 53805-1216 | 2018-07-26 |
| Find all providers in zip 53805 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.