NPI 1942233648 · live from the CMS NPI Registry
Black Creek Rescue Service
Ambulance in Black Creek, WI. National Provider Identifier 1942233648, active.
NPI record
| NPI | 1942233648 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance 341600000X |
| Practice location | W5200 County Rd B, Black Creek, WI 54106 |
| Practice phone | 920-984-3444 |
| Mailing address | W5200 County Rd B, Po Box 143, Black Creek, WI 54106 |
| Enumerated | July 8, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Kathy Pasch, Cooridinatorfinancial Secretary |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance primary | 341600000X | 60-01367 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.