Pembine Dunbar Beecher Rescue Squad – Land Ambulance

Key facts

NPI: 1467572891
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
Legal business name: PEMBINE DUNBAR BEECHER RESCUE SQUAD
Practice address: N 18251 Hwy 141
Pembine, WI 54156-0990
Phone: (715) 324-5656
Fax: (715) 324-6474
NPI assigned: Mar 30, 2007
Organization subpart: No

Authorized official

Name: Ryan Gick
Title: Director
Phone: (715) 324-5656

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20080117000169	WI	Part B Supplier - Ambulance Service Supplier	2769563683	Practice locations: Pembine, WI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X			Yes

Addresses

Primary practice location

N 18251 Hwy 141
Pembine, WI 54156-0990

Mailing address

PO Box 220
Pembine, WI 54156-0220
Phone (715) 324-5656

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2025.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1467572891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "PEMBINE",
            "state": "WI",
            "postal_code": "541560220",
            "telephone_number": "715-324-5656",
            "fax_number": "715-923-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N 18251 HWY 141",
            "city": "PEMBINE",
            "state": "WI",
            "postal_code": "541560990",
            "telephone_number": "715-324-5656",
            "fax_number": "715-324-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBINE DUNBAR BEECHER RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "GICK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-324-5656"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembine, WI

All providers in Pembine, WI · Land Ambulance in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.