KICKAPOO VALLEY RESCUE SQUAD INC (NPI# 1508069923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508069923 |
| Entity Type | Organization |
| Organization Name | KICKAPOO VALLEY RESCUE SQUAD INC |
| Practice Address |
213 N Turner Viola WI 54664 |
| Mailing Address |
Po Box 95 Viola WI 54664-0095 |
| Practice Telephone | 6086271810 |
| Practice Fax Number | 6086271815 |
| Mailing Telephone | 6086271810 |
| Mailing Fax Number | 6086271815 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | SADIE J WALLACE (SECRETARY) |
| Authorized Official Telephone | 6086063932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 60-01171 | WI | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41348900 | 05 |
| Street Address |
213 N TURNER |
| City | VIOLA |
| State | WI |
| Zip Code | 54664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508958570 | Viola Health Services and Osteoporosis Center, Ltd | Family Medicine | 338 N Commercial Street, Viola, WI 54664 | 2006-09-28 |
| 1972602381 | Carol M Dinges | Family Medicine | 338 N. Commercial St., Viola, WI 54664-0066 | 2006-09-22 |
| 1548262231 | Matthew Wayne Hajzl | Chiropractor | E10767 Gore Hollow Rd, Viola, WI 54664-8014 | 2005-08-11 |
| 1104005081 | Kickapoo Area School District | Local Education Agency (LEA) | S6520 State Highway 131, Viola, WI 54664-8528 | 2007-10-29 |
| 1649824376 | Scenic Bluffs Health Center, Inc | Clinic/Center | S6520 State Highway 131, Viola, WI 54664-8528 | 2019-07-31 |
| 1629486873 | Sylvia Christine Longacre | Acupuncturist | 13622 Ames Dr, Viola, WI 54664-8811 | 2014-07-31 |
| 1093174765 | Diane Cook | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12489 State Highway 56, Viola, WI 54664-8914 | 2016-02-23 |
| 1356700025 | Mystic Creek, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12489 State Highway 56, Viola, WI 54664-8914 | 2016-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869419 | Access Medical Clinic Arkansas LLC | Family Medicine | 9798 Highway 62 W, Viola, AR 72583-6001 | 2020-04-09 |
| 1477190759 | Carolyn Hart | Nurse Practitioner | 8098 Elizabeth Rd, Viola, AR 72583 | 2019-12-05 |
| 1578076808 | Amber Marie Bruning | Speech-Language Pathologist | 1804 17th Ave, Viola, IL 61486-9200 | 2017-11-08 |
| 1922532837 | Nurse Practitioners Family Clinic | Clinic/Center | 9798 Highway 62 West, Viola, AR 72583 | 2017-04-18 |
| 1407216955 | Robyn Michaud | Registered Nurse | 394 Farm Ln, Viola, DE 19979-1302 | 2016-02-25 |
| 1891181384 | Elizabeth Kay Smith | Pharmacist | 9746 Highway 62/412, Viola, AR 72583 | 2015-04-10 |
| 1558751974 | Jennifer Suzanne Fields | Registered Nurse | 192 Friedel Rd, Viola, DE 19979-1222 | 2015-01-24 |
| 1548672660 | Melanie Kerley | Case Manager/Care Coordinator | 8073 Sturkie Rd, Viola, AR 72583-9751 | 2014-05-22 |
| 1699058289 | Melinda Blaine Wray | Physical Therapist | 9818 Hwy 62 W, Viola, AR 72583 | 2011-09-21 |
| 1073843447 | Jacqueline M Greenway | Home Health Aide | 4417 Highway 223 S, Viola, AR 72583-9559 | 2010-01-07 |
| Find all providers in VIOLA | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
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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.