Pickerel Rescue Squad, Inc
Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · Pickerel, WI
NPI 1073375804 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1073375804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
- Legal business name
- PICKEREL RESCUE SQUAD, INC
- Practice address
- N9062 State Hwy 55
Pickerel, WI 54465 - Phone
- (715) 216-1120
- NPI assigned
- Jan 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Lynn A Verhagen, AEMT,RN
- Title
- EMS Service Director
- Phone
- (715) 216-1120
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | Yes |
Addresses
Primary practice location
N9062 State Hwy 55
Pickerel, WI 54465
Mailing address
PO Box 47
Pickerel, WI 54465-0047
Phone (715) 216-1120
Other providers in Pickerel, WI
All providers in Pickerel, WI · Emergency Medical Services (Emergency Medicine) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.