Active NPI
Aegis Group Inc
Doing business as County Rescue Services
- Land Ambulance
- Green Bay, WI
National Provider Identifier
1063579381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6001266
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41312700 | Medicaid | WI | |
| 4755776 TYPE 18 | Medicaid | MI | |
| 4755794 TYPE 18 | Medicaid | MI | |
| 41357800 | Medicaid | WI | |
| 590001468 | Other | WI | RR MEDICARE AIR AMBULANCE |
| 590001468 | Other | WI | RR MEDICARE GROUND AMBULA |
Other names 2
- County Rescue Services
- Eagle III
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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"
}
]
}
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- Advocates for Healthy Transitional Living, LLC
- Aegis Group Inc (Eagle III)
- Aegis Group Practice LLC
- Sara J Aerts, NP
- Affordable Chiropractic.Biz, LLC
- Affordable Dentures & Implants - Green Bay, S.C.
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.