MISHICOT AREA AMBULANCE SERVICE, INC. (NPI# 1255468955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255468955 |
| Entity Type | Organization |
| Organization Name | MISHICOT AREA AMBULANCE SERVICE, INC. |
| Practice Address |
511 E. Main St. Mishicot WI 54228-0385 |
| Mailing Address |
511 East Main Street Mishicot WI 54228-0385 |
| Practice Telephone | 9207552525 |
| Practice Fax Number | 9207552525 |
| Mailing Telephone | 9207552525 |
| Mailing Fax Number | 9207552525 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | MR. JAMES F BYDALEK (OFFICE CLERK) |
| Authorized Official Telephone | 9207552525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
601234 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41309700 | 05 |
| Street Address |
511 E. MAIN ST. |
| City | MISHICOT |
| State | WI |
| Zip Code | 54228-0385 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245411099 | Erin Lasslo | Dentist | 105 North Park Lane, Po 70, Mishicot, WI 54228 | 2007-11-21 |
| 1134347750 | Mishicot School District | Local Education Agency (LEA) | 660 Washington St., Mishicot, WI 54228 | 2007-04-20 |
| 1457405193 | Lisa A Steinhauer | Nurse Practitioner | 175 S State St, Mishicot, WI 54228-9211 | 2007-01-22 |
| 1487864781 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 175 S State St, Mishicot, WI 54228-9211 | 2007-05-23 |
| 1255322046 | Kathryn Marie Kronforst | Nurse Anesthetist, Certified Registered | 225 Riverwood Dr, Mishicot, WI 54228-9216 | 2005-11-02 |
| 1992129597 | Connie Endries | Licensed Practical Nurse | 15632 Buck Ln, Mishicot, WI 54228-9434 | 2014-02-18 |
| 1407867773 | Jason Allen Thiel | Dentist | 105 N Park Ln, Mishicot, WI 54228-9537 | 2006-08-11 |
| 1407006869 | Mishicot Dental | Dentist | 105 N Park Ln, Mishicot, WI 54228-9537 | 2008-09-23 |
| 1760493050 | Ronald John Lese | Dentist | 105 N Park Ln, Mishicot, WI 54228-9537 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992129597 | Connie Endries | Licensed Practical Nurse | 15632 Buck Ln, Mishicot, WI 54228-9434 | 2014-02-18 |
| 1245411099 | Erin Lasslo | Dentist | 105 North Park Lane, Po 70, Mishicot, WI 54228 | 2007-11-21 |
| 1134347750 | Mishicot School District | Local Education Agency (LEA) | 660 Washington St., Mishicot, WI 54228 | 2007-04-20 |
| 1457405193 | Lisa A Steinhauer | Nurse Practitioner | 175 S State St, Mishicot, WI 54228-9211 | 2007-01-22 |
| 1407867773 | Jason Allen Thiel | Dentist | 105 N Park Ln, Mishicot, WI 54228-9537 | 2006-08-11 |
| 1255322046 | Kathryn Marie Kronforst | Nurse Anesthetist, Certified Registered | 225 Riverwood Dr, Mishicot, WI 54228-9216 | 2005-11-02 |
| 1407006869 | Mishicot Dental | Dentist | 105 N Park Ln, Mishicot, WI 54228-9537 | 2008-09-23 |
| 1487864781 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 175 S State St, Mishicot, WI 54228-9211 | 2007-05-23 |
| 1760493050 | Ronald John Lese | Dentist | 105 N Park Ln, Mishicot, WI 54228-9537 | 2006-08-11 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.