WAUSAUKEE RESCUE SQUAD, INC.; NPI #1235307612

Contact Information

WAUSAUKEE RESCUE SQUAD, INC.

429 HARRISON AVE.
WAUSAUKEE, WI 54177

Phone: 715-856-5035
Fax: 715-856-5010
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 WAUSAUKEE RESCUE SQUAD, INC.

NPI Number 1235307612

LBN Legal business name WAUSAUKEE RESCUE SQUAD, INC.

Authorized official ZETTA KOLF - (AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/19/2008

Last updated 05/06/2024 - About 2 years ago

Identifiers

WI	License #	60-00091
WI	Medicaid	41329000

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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