North Crawford Rescue Squad, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

60-00994 Issued in WI

Legal business name

NORTH CRAWFORD RESCUE SQUAD, INC.

Practice address

102 Legion Dr.
Soldiers Grove, WI 54655-0037

Phone

(608) 624-5226

Fax

(608) 624-5732

NPI assigned

Mar 7, 2007

Last updated

Mar 20, 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. Young

Title

Treasirer

Phone

(608) 624-5226

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1144350067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LEGION DR.",
            "address_2": "BOX 37",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546550037",
            "telephone_number": "608-624-5226",
            "fax_number": "608-624-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LEGION DR.",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546550037",
            "telephone_number": "608-624-5226",
            "fax_number": "608-624-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CRAWFORD RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "TREASIRER",
        "authorized_official_telephone_number": "608-624-5226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "60-00994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynne Hagen, MS, ATC, LAT
• Sue Ellen Johnson
• Katrina M. Johnson, LLC
• Beth S Laxton, PT
• Sara L Mand, RN
• North Crawford School District
• NSH Soldiers Grove LLC
• Angel Ann Olson, MSW
• Tammy S Pedretti, P.A.
• Mary Root

• Ambulance in Soldiers Grove, WI
• Providers in Soldiers Grove, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.