WAUSAUKEE RESCUE SQUAD, INC. (NPI# 1235307612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235307612 |
| Entity Type | Organization |
| Organization Name | WAUSAUKEE RESCUE SQUAD, INC. |
| Practice Address |
429 Harrison Ave. Wausaukee WI 54177 |
| Mailing Address |
P.o. Box 318 429 Harrison Ave Wausaukee WI 54177 |
| Practice Telephone | 7158565035 |
| Practice Fax Number | 7158565010 |
| Mailing Telephone | 7158565035 |
| Mailing Fax Number | 7158565010 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | MRS. JENNIFER LYNN MADDEN (ADMINISTRATOR) |
| Authorized Official Telephone | 7158565035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
60-00091 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41329000 | 05 |
| Street Address |
429 HARRISON AVE. |
| City | WAUSAUKEE |
| State | WI |
| Zip Code | 54177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033389283 | David Moss | Registered Nurse | 308 Harrison Ave, Wausaukee, WI 54177 | 2008-03-04 |
| 1790013076 | Wausaukee Pharmacy Inc | Pharmacy | 703 Main St, Ste 2, Wausaukee, WI 54177 | 2009-11-25 |
| 1326184326 | Diane Sharon Runge | Licensed Practical Nurse | W6849 Creek Rd, Wausaukee, WI 54177-8956 | 2007-01-29 |
| 1154501773 | Vicky M. Plas | Registered Nurse | N9129 Just Rd, Wausaukee, WI 54177-9037 | 2007-11-12 |
| 1245403583 | Wausaukee School District | Local Education Agency (LEA) | N11941 Us Highway 141, Wausaukee, WI 54177-9300 | 2008-04-08 |
| 1699719310 | Dickinson County Healthcare System | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2006-06-15 |
| 1063901858 | Bellin Health Iron Mountain Inc | Family Medicine | 536 Kenny Dr, Wausaukee, WI 54177-9627 | 2018-05-07 |
| 1457689705 | Megs Pharmacy Inc | Pharmacy | 825 Main St, Wausaukee, WI 54177-9773 | 2009-11-25 |
| 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.