The Crivitz Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

THE CRIVITZ RESCUE SQUAD, INC

Doing business as

Crivitz Rescue Squad, Inc

Practice address

1020 Henriette Ave
Crivitz, WI 54114-1536

Phone

(715) 854-7666

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By 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

Barb Tobison

Title

Administrator

Phone

(715) 854-7666

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Crivitz Rescue Squad, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780637595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 666",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541140666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HENRIETTE AVE",
            "city": "CRIVITZ",
            "state": "WI",
            "postal_code": "541141536",
            "telephone_number": "715-854-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CRIVITZ RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOBISON",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-854-7666"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH",
            "identifier": "41335200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "25747",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41335200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41335200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crivitz Rescue Squad, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Ann Scriven, RN
• Pawneet P Singh, MD
• Gina M Suchocki
• Joel A Supita, DDS
• Nathan M Tanney, P.T.
• Laura Toerck
• Twin Bridge Rescue Squad Inc
• Barb Vertz
• Stacie Lyn Witt, RN, BSN
• Tracy Wruk

• 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.