Twin Bridge Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TWIN BRIDGE RESCUE SQUAD INC

Practice address

W11280 County Road X
Crivitz, WI 54114-8004

Phone

(715) 854-2942

NPI assigned

May 19, 2006

Last updated

Aug 18, 2011By 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

Elaine Olson

Title

President

Phone

(715) 854-2942

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1487608295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541140745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W11280 COUNTY ROAD X",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541148004",
            "telephone_number": "715-854-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN BRIDGE RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-854-2942"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41360000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000080023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina M Suchocki
• Joel A Supita, DDS
• Nathan M Tanney, P.T.
• The Crivitz Rescue Squad, Inc (Crivitz Rescue Squad, Inc)
• Laura Toerck
• Barb Vertz
• Stacie Lyn Witt, RN, BSN
• Tracy Wruk
• Kelly Zahn, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.