Emergency Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

EMERGENCY RESCUE SQUAD INC

Practice address

2710 Woleske Rd
Marinette, WI 54143-3844

Phone

(715) 735-3261

NPI assigned

Jun 9, 2021

Organization subpart

No

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

Authorized official

Name

Gregory Loll

Title

Ambulance Manager

Phone

(715) 735-3261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1124695069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541430547",
            "telephone_number": "715-735-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 WOLESKE RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433844",
            "telephone_number": "715-735-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "LOLL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "AMBULANCE MANAGER",
        "authorized_official_telephone_number": "715-735-3261"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lea Eldevick, MD
• Jennifer Eldridge
• Khaled Elkady Hussein, M.D
• Robin Gerald Elsner, MSW LCSW
• Emergency Physician Associates of Wisconsin SC
• Chad Ermis, DO
• Emily B Ermis, D.O.
• Sohan Erpenwar
• Family Care Medical Clinic
• Sharon L Fellion, RNC WHNP

• Land Ambulance in Marinette, WI
• Providers in Marinette, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.