Cassville Volunteer Fire Dept and Rescue Squad

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

6001017 Issued in WI

Legal business name

CASSVILLE VOLUNTEER FIRE DEPT AND RESCUE SQUAD

Practice address

310 W. Amelia Street
Cassville, WI 53806-9735

Phone

(608) 725-5995

NPI assigned

Dec 15, 2010

Organization subpart

No

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

Authorized official

Name

Lori Glaser

Title

Secretary/Treasurer

Phone

(608) 725-5875

Specialties & licenses 1

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497312000000",
    "number": "1306149208",
    "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",
            "telephone_number": "877-642-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W. AMELIA STREET",
            "city": "CASSVILLE",
            "state": "WI",
            "postal_code": "538069735",
            "telephone_number": "608-725-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSVILLE VOLUNTEER FIRE DEPT AND RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2017-06-13",
        "status": "A",
        "authorized_official_last_name": "GLASER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "608-725-5875"
    },
    "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": []
}

• Dakota Bernhardt
• Pamela A Buss, RN
• Nicole Ashley Caldwell, L.P.C.
• Cassville Rescue Squad
• Cassville School District
• Grant Regional Health Center, Inc
• Katherine Ann Hauk
• Home Care Select
• Thomas Jude Hughes, DDS
• Linda J Moris, RN

• Basic Emergency Medical Technician in Cassville, WI
• Providers in Cassville, WI by specialty
• Basic Emergency Medical Technician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; 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.