WEST GRANT RESCUE SQUAD INC; NPI #1144277583

Contact Information

WEST GRANT RESCUE SQUAD INC

136 MILL ST
BLOOMINGTON, WI 53804

Phone: 608-994-2385
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 WEST GRANT RESCUE SQUAD INC

NPI Number 1144277583

LBN Legal business name WEST GRANT RESCUE SQUAD INC

Authorized official NATHAN NIEHAUS - (TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/30/2006

Last updated 10/15/2023 - About 3 years ago

Identifiers

Medicaid

41310200

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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