Golden Sands RCS

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

GOLDEN SANDS RCS

Practice address

220 W Main St
Wautoma, WI 54982-5411

Phone

(950) 787-0777

Fax

(920) 787-4158

NPI assigned

Aug 23, 2010

Last updated

Aug 23, 2010By 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. Diana May Witucki

Title

President

Phone

(920) 787-0777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1699081182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "address_2": "P.O. BOX 1141",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549825411",
            "telephone_number": "920-787-0777",
            "fax_number": "920-787-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549825411",
            "telephone_number": "950-787-0777",
            "fax_number": "920-787-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN SANDS RCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "WITUCKI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "MAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-787-0777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Alice Froehlich, RN
• Anna R Fullmer, MSSW, LCSW
• Tammy Luella Gagnon, PTA
• Alissa Gies, PHARMD
• Karisa Nicole Gloudemans, DPT
• Golden Sands RCS Inc
• Whitney Allison Golding, APSW
• Rachel Gombos, RN
• John Alois Gommermann, M.D.
• Heather Jean Greiling, APNP

• Oxygen Equipment & Supplies (DME) in Wautoma, WI
• Providers in Wautoma, WI by specialty
• Oxygen Equipment & Supplies (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.