Troutland Rescue Squad, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

60-01159 Issued in WI

Legal business name

TROUTLAND RESCUE SQUAD, INC.

Practice address

113 Bissell St
White Lake, WI 54491-9410

Phone

(715) 432-0491

NPI assigned

Jun 17, 2006

Last updated

Jan 16, 2013By 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. Linda J Vollmar

Title

Billing Secretary

Phone

(715) 623-3633

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1710922620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EDISON ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091955",
            "telephone_number": "715-623-3633",
            "fax_number": "715-627-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BISSELL ST",
            "city": "WHITE LAKE",
            "state": "WI",
            "postal_code": "544919410",
            "telephone_number": "715-432-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROUTLAND RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "VOLLMAR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SECRETARY",
        "authorized_official_telephone_number": "715-623-3633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "60-01159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00098124",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41339100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J T School District 2 (Village of White Lake & School District of White Lake)
• Bonnie May Stegall, LPN
• The Lakes Community Health Center, Inc (NorthLakes Community Clinic)

• Ambulance in White Lake, WI
• Providers in White Lake, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.