Cazenovia FD Rescue Squad

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

6000515 Issued in WI

Legal business name

CAZENOVIA FD RESCUE SQUAD

Practice address

401 State Hwy 58 North
Cazenovia, WI 53924-0183

Phone

(608) 983-2840

NPI assigned

Mar 7, 2007

Last updated

Jun 17, 2008By 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

Mrs. Bonnie L Marshall

Title

Secretary-Bookkeeper

Phone

(608) 983-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cazendovia Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cazenovia FD Rescue Squad

  dba Cazendovia Ambulance

  • Health Maintenance Organization
  • Cazenovia, WI
  • NPI 1124296926
  NPD tax ID

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1538299375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "address_2": "401 STATE HWY 58 NORTH",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539240183",
            "telephone_number": "608-983-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 STATE HWY 58 NORTH",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539240183",
            "telephone_number": "608-983-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA FD RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY-BOOKKEEPER",
        "authorized_official_telephone_number": "608-983-2840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WI",
            "license": "6000515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asbel Enterprises, Inc. (Asbel Chiropractic Clinic)
• Tracy Lynn Brownlee, R.N.
• Cazenovia Area World Fire (Cazenovia FD Rescue Squad)
• Cazenovia FD Rescue Squad (Cazendovia Ambulance)
• Norma Coblentz
• Dionne J Corcoran, CPM LM
• Andrea Hill, C.O.T.A.
• Elizabeth Moore, CPM LM
• Lisa Nimara, D.C.

• Basic Emergency Medical Technician in Cazenovia, WI
• Providers in Cazenovia, 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 17, 2008; 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.