Crandon Area Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000999 Issued in WI

Legal business name

CRANDON AREA RESCUE SQUAD, INC

Practice address

107 E. Elm St
Crandon, WI 54520-0302

Phone

(715) 478-3470

Fax

(715) 478-2745

NPI assigned

Oct 17, 2006

Last updated

May 14, 2014By 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. Deelda J Okrasinski, EMT

Title

President

Phone

(715) 478-3470

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1205917366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200302",
            "telephone_number": "715-478-3470",
            "fax_number": "715-478-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E. ELM ST",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200302",
            "telephone_number": "715-478-3470",
            "fax_number": "715-478-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANDON AREA RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "OKRASINSKI",
        "authorized_official_first_name": "DEELDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-478-3470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6000999",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41328700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Arthur Brandner, M.D.
• Laura Jean Connor, D.C.
• Elizabeth Anne Conway
• Stephanie Marie Coons, DSW
• County of Forest
• Crandon Chiropractic S.C.
• Crandon Vision Center
• Kristin Mary Dahms
• Shelby Lynn Daniels, SAC-IT
• Jolene A Derfus, SAC-IT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.