TOWN OF IRON RIVER (NPI# 1831248475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831248475 |
Entity Type | Organization |
Organization Name | TOWN OF IRON RIVER |
Other Organization Name | TOWN OF IRON RIVER AMBULANCE SERVICE |
Practice Address |
8285 Us Highway 2 Iron River WI 54847-3436 |
Mailing Address |
8285 Us Highway 2 P.o. Box 53 Iron River WI 54847-3436 |
Practice Telephone | 7153728774 |
Practice Fax Number | 7153724394 |
Mailing Telephone | 7153728774 |
Mailing Fax Number | 7153724394 |
Enumeration Date | 2007-01-10 |
Last Update Date | 2010-07-01 |
Authorized Official Name | MS. MARY(MICKY) E. MULLOZZI (EMERGENCY MEDICAL TECHNITIAN-BILLIN) |
Authorized Official Telephone | 7153728774 |
Authorized Official Credential | R.E.M.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6000776 | WI | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 41333000 | 05 | |
WI | STATE LICENSE | 6000776 | 01 |
Other Name | Type Code |
---|---|
Town of Iron River Ambulance Service | Doing Business As Name - Organization |
Street Address |
8285 US HIGHWAY 2 |
City | IRON RIVER |
State | WI |
Zip Code | 54847-3436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770688756 | Douglas Bruce Peterson | Dentist | 8470 Us Hwy 2, Iron River, WI 54847-0400 | 2006-09-14 |
1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
1548278021 | Deborah A Dryer-akl | Family Medicine | 7665 Us Hwy 2, The Lakes Community Health Center, Iron River, WI 54847-4260 | 2006-08-03 |
1083888705 | Lavonne Diane Gustafson | Physical Therapy Assistant | 62277 Delta Lake Rd, Iron River, WI 54847-4570 | 2008-04-14 |
1215987755 | Arlyn A Koeller | Family Medicine | 7665 Us Highway 2, The Lakes Community Health Center, Iron River, WI 54847-4690 | 2006-05-12 |
1356972210 | Ellyn Conhartoski | Counselor | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2020-01-30 |
1942840392 | Crystal Hasselquist | Dental Hygienist | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2020-01-14 |
1033685045 | Lisa Olson | Dental Hygienist | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2018-10-17 |
1720591654 | Rebecca Fleming | Nurse Practitioner | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2017-11-14 |
1144768300 | James Roe | Counselor | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2017-02-08 |
Find all providers in zip 54847 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | IRON RIVER |
Zip Code | 54847 |
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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.