FENNIMORE RURAL FIRE DEPARTMENT RESCUE SQUAD (NPI# 1225085483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225085483 |
| Entity Type | Organization |
| Organization Name | FENNIMORE RURAL FIRE DEPARTMENT RESCUE SQUAD |
| Practice Address |
1070 8th Street Fennimore WI 53809 |
| Mailing Address |
2715 West Frank Street Eau Claire WI 54703 |
| Practice Telephone | 6088223211 |
| Mailing Fax Number | 7158345870 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICK KREUL (CHIEF) |
| Authorized Official Telephone | 60882232211 |
| Authorized Official Credential | EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 60367 | WI | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41360400 | 05 |
| Street Address |
1070 8TH STREET |
| City | FENNIMORE |
| State | WI |
| Zip Code | 53809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801367545 | Fennimore Dental, LLC | Dentist | 220 Lincoln Avenue, Fennimore, WI 53809 | 2018-12-06 |
| 1003094301 | Heather R Wolf | Licensed Practical Nurse | 1470 12th Street, Fennimore, WI 53809 | 2008-02-08 |
| 1124103080 | Diane L Cavadini | Registered Nurse | 2409 Hwy Q, Fennimore, WI 53809 | 2006-10-26 |
| 1164955563 | Jacqueline Hanson | Pharmacist | 1120 Lincoln Ave, Fennimore, WI 53809 | 2017-04-04 |
| 1093254070 | Mckenzie Croft | Licensed Practical Nurse | 13554 Switzer Rd, Fennimore, WI 53809 | 2017-02-23 |
| 1609096833 | Richard Merwin Lofthouse Sr. | Dentist | 220 Lincoln Ave, Fennimore, WI 53809 | 2007-04-30 |
| 1336483726 | Lori Lynn Kartman | Licensed Practical Nurse | 1509 2nd St, Fennimore, WI 53809-1004 | 2012-11-26 |
| 1588635239 | Eulogio G Aguilar | Emergency Medicine | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2006-01-31 |
| 1215124029 | Memorial Hospital of Boscobel | Durable Medical Equipment & Medical Supplies | 220 Lincoln Ave, Fennimore, WI 53809-1030 | 2007-09-26 |
| 1073806014 | Zhenyu Liang | Dentist | 220 Lincoln Ave, Fennimore, WI 53809-1036 | 2011-05-24 |
| Find all providers in zip 53809 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251575 | Ronald Mesha Hardwick Jr. | Emergency Medical Technician, Basic | 263 S Marr St, Fond Du Lac, WI 54935-5075 | 2020-10-02 |
| 1245849850 | William M Icard Jr. | Emergency Medical Technician, Basic | 1679 County Road H, Deer Park, WI 54007-7102 | 2020-07-29 |
| 1497374516 | Austin Chronister | Emergency Medical Technician, Basic | 3022 W State St, Milwaukee, WI 53208-3459 | 2020-04-09 |
| 1043778228 | Rita Marie Acosta | Emergency Medical Technician, Basic | 509 University Dr, Mcphee Atr, Eau Claire, WI 54701 | 2019-03-07 |
| 1669961124 | Duffy David Eberhardt | Emergency Medical Technician, Basic | N7936 Woody Ln, Ixonia, WI 53036-9479 | 2018-05-09 |
| 1346737822 | Paul Christopher Usher Jr. | Emergency Medical Technician, Basic | 2226 S 89th St Apt 8, West Allis, WI 53227-1659 | 2018-04-19 |
| 1679004030 | Montello Joint Fire District | Emergency Medical Technician, Basic | 20 Underwood Ave, Montello, WI 53949-9259 | 2017-03-27 |
| 1992192546 | Kaylee Craigo | Emergency Medical Technician, Basic | N2081 Alphorn Rd, Monroe, WI 53566-8921 | 2015-04-21 |
| 1629485982 | Said Aden | Emergency Medical Technician, Basic | 234 W Florida S Suite 311, Milwaukee, WI 53204-1659 | 2014-07-18 |
| 1306149208 | Cassville Volunteer Fire Dept and Rescue Squad | Emergency Medical Technician, Basic | 310 W. Amelia Street, Cassville, WI 53806-9735 | 2010-12-15 |
| Find all providers with the same taxonomy | ||||
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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.