POYNETTE-DEKORRA FIRE PROTECTION DISTRICT (NPI# 1407990864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407990864 |
| Entity Type | Organization |
| Organization Name | POYNETTE-DEKORRA FIRE PROTECTION DISTRICT |
| Other Organization Name | POYNETTE DEKORRA EMERGENCY MEDICAL SERVICE |
| Practice Address |
606 Water Tower Rd. Poynette WI 53955-8622 |
| Mailing Address |
606 Water Tower Rd. P.o. Box 364 Poynette WI 53955-8622 |
| Practice Telephone | 6086353401 |
| Practice Fax Number | 6086354380 |
| Mailing Telephone | 6086353401 |
| Mailing Fax Number | 6086354380 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2012-05-04 |
| Authorized Official Name | MR. JAMES TOMLINSON (FIRE CHIEF) |
| Authorized Official Telephone | 6086353401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146N00000X | Emergency Medical Technician, Basic | 6001213 | WI | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ZZ3416L0300X | 05 |
| Other Name | Type Code |
|---|---|
| Poynette Dekorra Emergency Medical Service | Doing Business As Name - Organization |
| Street Address |
606 WATER TOWER RD. |
| City | POYNETTE |
| State | WI |
| Zip Code | 53955-8622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679656482 | David B. Yaeger | Chiropractor | 214 E. Seward Street, Poynette, WI 53955 | 2006-10-23 |
| 1255449823 | Brian Roger Olson | Pharmacist | 317 N Hwy 51, Poynette, WI 53955 | 2006-08-25 |
| 1871751503 | Sara J Hausser | Speech-Language Pathologist | 717 Links Dr, Poynette, WI 53955-8304 | 2008-05-29 |
| 1376524389 | Georgia J. White | Licensed Practical Nurse | 236 E Tomlinson St, Poynette, WI 53955-8574 | 2005-11-07 |
| 1124208061 | School District of Poynette | Local Education Agency (LEA) | 108 N Cleveland St, Poynette, WI 53955-8913 | 2007-11-08 |
| 1316190010 | Greenbush Oaks, Inc | Counselor | 415 N Main St Ste 3, Poynette, WI 53955-8963 | 2008-10-28 |
| 1699924423 | Angela Marie Thompson | Massage Therapist | 415 N Main St, Suite 2 Office 2, Poynette, WI 53955-8963 | 2008-09-17 |
| 1326215161 | Curtis S Hossman | Counselor | 415 N Main St, Poynette, WI 53955-8963 | 2008-05-12 |
| 1679539191 | Kristine Merrill | Counselor | 415 N Main St, Suite 3, Poynette, WI 53955-8963 | 2006-04-24 |
| 1851378988 | Velma Haag | Social Worker | 415 N Main St, Poynette, WI 53955-8963 | 2005-12-29 |
| Find all providers in zip 53955 | ||||
| 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.