NPI 1205917366 · live from the CMS NPI Registry
Crandon Area Rescue Squad, INC
Ambulance, Land Transport in Crandon, WI. National Provider Identifier 1205917366, active.
NPI record
| NPI | 1205917366 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 107 E. Elm St, Crandon, WI 54520 |
| Practice phone | 715-478-3470 |
| Mailing address | Po Box 302, Crandon, WI 54520 |
| Enumerated | October 17, 2006 |
| Last updated | May 14, 2014 |
| Authorized official | Deelda Okrasinski, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance | 341600000X | 6000999 (WI) |
| Ambulance, Land Transport primary | 3416L0300X | 6000999 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.