Delavan Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DELAVAN RESCUE SQUAD, INC.

Practice address

651 Ann St
Delavan, WI 53115-1840

Phone

(262) 728-9759

NPI assigned

May 18, 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

John Kramer

Title

Chief

Phone

(262) 728-9759

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912950270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 371",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531150371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ANN ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151840",
            "telephone_number": "262-728-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAVAN RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "262-728-9759"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41313900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41313900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH",
            "identifier": "41313900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "41313900",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1016748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2567860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delavan Chiropractic Center,LTD
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• Delavan Rescue Squad Inc (DRS Medical Transport)
• Delevan Family Dentistry
• April Doebert-Fischer, OTR
• Kelly Anne Doering-Kilkenny, LPN
• Dr Howard R Henning SC
• Jean Ellen Duesterbeck, REGISTERED NURSE

• Land Ambulance in Delavan, WI
• Providers in Delavan, 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.