Ocooch Mountain Rescue Inc.

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

6600149 Issued in WI

Legal business name

OCOOCH MOUNTAIN RESCUE INC.

Practice address

111 Royal Ave.
Gays Mills, WI 54631-0000

Phone

(608) 735-4698

Fax

(608) 735-4040

NPI assigned

May 30, 2006

Last updated

Nov 15, 2012By 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

Tresa McCarn, EMT B

Title

Treasurer

Phone

(608) 735-4698

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1548217912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "GAYS MILLS",
            "state": "WI",
            "postal_code": "546310204",
            "telephone_number": "608-735-4698",
            "fax_number": "608-735-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROYAL AVE.",
            "city": "GAYS MILLS",
            "state": "WI",
            "postal_code": "546310000",
            "telephone_number": "608-735-4698",
            "fax_number": "608-735-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOOCH MOUNTAIN RESCUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "MCCARN",
        "authorized_official_first_name": "TRESA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "608-735-4698",
        "authorized_official_credential": "EMT B"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WI",
            "license": "6600149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41360500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Basic Emergency Medical Technician in Gays Mills, WI
• Providers in Gays Mills, 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 Nov 15, 2012; 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.