POTOSI RESCUE SQUAD; NPI #1043267297

Contact Information

POTOSI RESCUE SQUAD

210 N MAIN ST
POTOSI, WI 53820

Phone: 608-763-4016
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for POTOSI RESCUE SQUAD

NPI Number 1043267297

LBN Legal business name POTOSI RESCUE SQUAD

Authorized official TAMMY GOTZINGER - (CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/30/2006

Last updated 08/18/2022 - About 4 years ago

Identifiers

Medicaid

41311400

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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