CRANDON AREA RESCUE SQUAD, INC (NPI# 1205917366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205917366 |
| Entity Type | Organization |
| Organization Name | CRANDON AREA RESCUE SQUAD, INC |
| Practice Address |
107 E. Elm St Crandon WI 54520-0302 |
| Mailing Address |
Po Box 302 Crandon WI 54520-0302 |
| Practice Telephone | 7154783470 |
| Practice Fax Number | 7154782745 |
| Mailing Telephone | 7154783470 |
| Mailing Fax Number | 7154782745 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MRS. DEELDA J OKRASINSKI (PRESIDENT) |
| Authorized Official Telephone | 7154783470 |
| Authorized Official Credential | EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 6000999 | WI | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6000999 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41328700 | 05 |
| Street Address |
107 E. ELM ST |
| City | CRANDON |
| State | WI |
| Zip Code | 54520-0302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255574364 | Anne Morris Warren | Counselor | 5409 Everybody's Rd, Crandon, WI 54520 | 2009-04-20 |
| 1568643922 | Karen Mihalko | Hearing Instrument Specialist | 106 W Madison Street, Crandon, WI 54520 | 2007-11-14 |
| 1558379438 | David R Kaufman Jr. | Pharmacist | 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1114935095 | William R Pierre | Optometrist | 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1285642165 | Christopher P Skaggs | Speech-Language Pathologist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| 1720033186 | Frank Mraz | Family Medicine | 5409 Everybody's Road, Crandon, WI 54520 | 2006-05-24 |
| 1770978173 | Lana Winter | Counselor | 3144 Vanzile Rd, Crandon, WI 54520 | 2015-04-02 |
| 1902221989 | Anna E Lopez | Massage Therapist | 8201 Mish Ko Swen Drive, Crandon, WI 54520 | 2014-02-27 |
| 1992959654 | Lisa M Miller | Dietitian, Registered | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2008-11-07 |
| 1902814882 | Kirk R Ritchie | Dentist | 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 | 2006-08-04 |
| Find all providers in zip 54520 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812041 | Village of Camp Douglas | Ambulance | 304 Center St, Camp Douglas, WI 54618-2800 | 2019-10-17 |
| 1053952614 | Focus Transport | Ambulance | 5319 N 118th Ct, Milwaukee, WI 53225-3085 | 2019-10-04 |
| 1033604061 | Town of St. Germain | Ambulance | 553 State Highway 155, St. Germain, WI 54558 | 2018-06-22 |
| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1225536527 | Town of Long Lake | Ambulance | 3348 Wisconsin 139, Long Lake, WI 54542 | 2018-02-01 |
| 1750815619 | Boyceville Community Ambulance District | Ambulance | 504 Race St, Boyceville, WI 54725-7521 | 2017-04-18 |
| 1417492711 | Riverside Fire District | Ambulance | 1325 Schofield Ave, Schofield, WI 54476-2302 | 2016-12-23 |
| 1588106199 | Meda Care Ambulance Service, LLC | Ambulance | 535 S 92nd St, Milwaukee, WI 53214-1256 | 2016-11-14 |
| 1881044964 | Central Fire & Ems District | Ambulance | 112 W Spruce St, Abbotsford, WI 54405-9734 | 2016-06-20 |
| 1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CRANDON AREA RESCUE SQUAD, INC.
| 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.