Randolph Community Rescue Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

6000557 Issued in WI

Legal business name

RANDOLPH COMMUNITY RESCUE AMBULANCE

Practice address

136 W Stroud St
Randolph, WI 53956-1294

Phone

(920) 210-2310

Fax

(920) 326-5068

NPI assigned

Nov 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joseph Meagher

Title

Chief

Phone

(920) 210-2310

Specialties & licenses 1

Addresses

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": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801975297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W STROUD ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561272",
            "telephone_number": "920-326-3662",
            "fax_number": "920-326-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W STROUD ST",
            "city": "RANDOLPH",
            "state": "WI",
            "postal_code": "539561294",
            "telephone_number": "920-210-2310",
            "fax_number": "920-326-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH COMMUNITY RESCUE AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEAGHER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "920-210-2310"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6000557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Katherine Mulder, PA
• Susan K North, PTA
• NSH Randolph LLC
• Kristen Rabensdorf
• Randolph Community Clinic SC
• Randolph Family Dental LLC
• Randolph School District
• Shannon N Sandstrom, NP
• Emily J Seltzner, RD
• Wendy Lunnette Sherwood, IBCLC

• Ambulance in Randolph, WI
• Providers in Randolph, WI by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.