Barneveld Area Rescue Squad, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

601179 Issued in WI

Legal business name

BARNEVELD AREA RESCUE SQUAD, INC

Practice address

403 Business Id
Barneveld, WI 53507-9752

Phone

(608) 924-2904

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alvin Wright

Title

Chief

Phone

(608) 924-3811

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1053505354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BUSINESS ID",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079752",
            "telephone_number": "608-924-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 BUSINESS ID",
            "city": "BARNEVELD",
            "state": "WI",
            "postal_code": "535079752",
            "telephone_number": "608-924-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNEVELD AREA RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "608-924-3811",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "601179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41305800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barneveld Family Chiropractic, LLC
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• Michael Deal

• Ambulance in Barneveld, WI
• Providers in Barneveld, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.