Organization Active NPI

Cassville Rescue Squad

  • Basic Emergency Medical Technician
  • Cassville, WI
National Provider Identifier
1225085574
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
License
6001017 Issued in WI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Basic Emergency Medical TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
41317600MedicaidWI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.