Cazenovia FD Rescue Squad

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

60-00515 Issued in WI

Legal business name

CAZENOVIA FD RESCUE SQUAD

Doing business as

Cazendovia Ambulance

Practice address

401 State Hwy 58 North
310 Hwy 58 North
Cazenovia, WI 53924-0183

Phone

(608) 983-2840

Fax

(608) 983-2215

NPI assigned

Feb 14, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bonnie L Marshall

Title

Bookkeeper-Secretary

Phone

(608) 983-2840

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cazendovia Ambulance Doing business as

Tax ID family

Cazendovia Ambulance2 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.

• Cazenovia FD Rescue Squad

  • Basic Emergency Medical Technician
  • Cazenovia, WI
  • NPI 1538299375
  NPD tax ID

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1124296926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 STATE HWY 58 NORTH",
            "address_2": "PO BOX 183",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539240183",
            "telephone_number": "608-983-2840",
            "fax_number": "608-983-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STATE HWY 58 NORTH",
            "address_2": "310 HWY 58 NORTH",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539240183",
            "telephone_number": "608-983-2840",
            "fax_number": "608-983-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA FD RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BOOKKEEPER-SECRETARY",
        "authorized_official_telephone_number": "608-983-2840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WI",
            "license": "60-00515",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cazendovia Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asbel Enterprises, Inc. (Asbel Chiropractic Clinic)
• Tracy Lynn Brownlee, R.N.
• Cazenovia Area World Fire (Cazenovia FD Rescue Squad)
• Cazenovia FD Rescue Squad
• Norma Coblentz
• Dionne J Corcoran, CPM LM
• Andrea Hill, C.O.T.A.
• Elizabeth Moore, CPM LM

• Health Maintenance Organization in Cazenovia, WI
• Providers in Cazenovia, WI by specialty
• Health Maintenance Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.