Active NPI
Cassville Rescue Squad
- Basic Emergency Medical Technician
- Cassville, WI
National Provider Identifier
1225085574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 6001017
- Legal business name
- CASSVILLE RESCUE SQUAD
- Practice address
- 221 W Bluff St
Cassville, WI 53806-9735 - Phone
- (608) 326-7828
- NPI assigned
- May 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Kartman, EMT B
- Title
- Treasurer
- Phone
- (608) 725-5646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 6001017 | WI | Primary |
Addresses
Primary practice location
221 W Bluff St
Cassville, WI 53806-9735
Mailing address
2715 W Frank St
Eau Claire, WI 54703-2593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41317600 | Medicaid | WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225085574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 W FRANK ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547032593",
"fax_number": "715-834-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W BLUFF ST",
"city": "CASSVILLE",
"state": "WI",
"postal_code": "538069735",
"telephone_number": "608-326-7828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASSVILLE RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KARTMAN",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "608-725-5646",
"authorized_official_credential": "EMT B"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": "WI",
"license": "6001017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41317600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cassville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.