Burlington Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1213-800 Issued in WI

Legal business name

BURLINGTON RESCUE SQUAD, INC.

Practice address

165 W Washington St
Burlington, WI 53105-1445

Phone

(262) 763-9521

NPI assigned

Jul 15, 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

Mr. Lester O Mastlir II

Title

Treasurer

Phone

(262) 763-9521

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811913312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531050501",
            "telephone_number": "262-763-9521",
            "fax_number": "262-763-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W WASHINGTON ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051445",
            "telephone_number": "262-763-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTLIR",
        "authorized_official_first_name": "LESTER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "262-763-9521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "1213-800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41332000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Philip S Carney Jr., MD

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

Verify at the official NPI Registry.