Organization Active NPI

Aegis Group Inc

Doing business as County Rescue Services

  • Land Ambulance
  • Green Bay, WI
National Provider Identifier
1063579381
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001266 Issued in WI
Legal business name
AEGIS GROUP INC
Doing business as
County Rescue Services
Eagle III
Practice address
1765 Allouez Ave
Green Bay, WI 54311-5645
Phone
(920) 469-9779
Fax
(920) 469-9777
NPI assigned
Jan 3, 2007
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Elaina Johnson
Title
Finance Director
Phone
(920) 884-3010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 6001266 WI
Air Ambulance 3416A0800X 6001266 WI
Land Ambulance 3416L0300X 6001266 WI Primary

Addresses

Primary practice location

1765 Allouez Ave
Green Bay, WI 54311-5645

Mailing address

1765 Allouez Ave
Green Bay, WI 54311-5645
Phone (920) 469-9779

Other identifiers 6

IdentifierTypeStateIssuer
41312700MedicaidWI
4755776 TYPE 18MedicaidMI
4755794 TYPE 18MedicaidMI
41357800MedicaidWI
590001468OtherWIRR MEDICARE AIR AMBULANCE
590001468OtherWIRR MEDICARE GROUND AMBULA

Other names 2

  • County Rescue Services Doing business as
  • Eagle III Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000530 WI Part B Supplier - Ambulance Service Supplier 6901939693 Practice locations: Brillion, WI; Denmark, WI; Green Bay, WI; Hobart, WI; Suamico, WI; Wrightstown, WI

National Provider Directory

National Provider Directory
Tax ID family
Aegis Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1765 Allouez Ave
Green Bay, WI 54311
Phone (920) 469-9779

1921 Airport Dr
Green Bay, WI 54313
Phone (920) 494-2669

3270 W Deerfield Ave
Suamico, WI 54173
Phone 9204699779 ext. 3115

1100 Broadway St
Unit 106
Wrightstown, WI 54180
Phone (920) 469-9777

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1063579381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 ALLOUEZ AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115645",
            "telephone_number": "920-469-9779",
            "fax_number": "920-469-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 ALLOUEZ AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543115645",
            "telephone_number": "920-469-9779",
            "fax_number": "920-469-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEGIS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "920-884-3010"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6001266",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WI",
            "license": "6001266",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41312700",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755776     TYPE 18",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755794     TYPE 18",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41357800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE AIR AMBULANCE",
            "identifier": "590001468",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUND AMBULA",
            "identifier": "590001468",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Rescue Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eagle III",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.