GREAT LAKES EMS INC (NPI# 1366803363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366803363 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES EMS INC |
| Other Organization Name | ACTION SPORTS EMS |
| Practice Address |
600 Century Oaks Dr Menasha WI 54952-1095 |
| Mailing Address |
Po Box 683 Menasha WI 54952-0683 |
| Practice Telephone | 7158894491 |
| Mailing Telephone | 7158894491 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |
| Authorized Official Name | MS. RYAN MCCLINTOCK (DIRECTOR) |
| Authorized Official Telephone | 7158894491 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | 03 3099 | IL | Transportation Services |
| N | 341600000X | Ambulance | 750445 | MN | Transportation Services |
| Y | 341600000X | Ambulance | 6604935 | WI | Transportation Services |
| Other Name | Type Code |
|---|---|
| Action Sports EMS | Doing Business As Name - Organization |
| Street Address |
600 CENTURY OAKS DR |
| City | MENASHA |
| State | WI |
| Zip Code | 54952-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275776239 | Sharon Louise Crowe | Dental Hygienist | 1814 North Appleton Road, Menasha, WI 54952 | 2009-04-07 |
| 1003056110 | Nicole Marie Guyette | Dental Hygienist | 814 N. Appleton Road, Menasha, WI 54952 | 2009-03-02 |
| 1760627624 | Jan Charles Sarnecki | Orthopaedic Surgery | 1814 N. Appleton Road, Menasha, WI 54952 | 2008-12-08 |
| 1588828297 | Lesley R Lathrop | Registered Nurse | 1764 Oakridge Court, Menasha, WI 54952 | 2008-07-11 |
| 1699965137 | Lisa Randerson | Counselor | 1427c Province Terrace, Menasha, WI 54952 | 2007-07-31 |
| 1689748675 | Lisa Lynn Lang Riegel | Dentist | 1155 Wittman Drive, Menasha, WI 54952 | 2006-11-20 |
| 1164596144 | Robert Charles Lang | Dentist | 1155 Wittmann Drive, Menasha, WI 54952 | 2006-11-20 |
| 1366527947 | Karen Patricia Schmidt | Case Manager/Care Coordinator | 1810 Appleton Road, Menasha, WI 54952 | 2006-10-25 |
| 1376647388 | Goodwill Industries of North Central Wi | Counselor | 1800 Appleton Road, Menasha, WI 54952 | 2006-09-11 |
| 1386135614 | Leslie J Steckbauer | Counselor | 1095 Midway Rd, Menasha, WI 54952 | 2018-05-22 |
| Find all providers in zip 54952 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609868090 | Gold Cross Ambulance Service Inc | Ambulance | 1055 Wittmann Dr, Menasha, WI 54952-3606 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223069 | North Central Safety Services, LLC | Ambulance | 3204 Washington Ave Rear, Racine, WI 53405-3037 | 2018-11-12 |
| 1588141345 | Superior Air-ground Ambulance Services of Wisconsin, Inc | Ambulance | 211 Madison St, Walworth, WI 53184-9680 | 2018-07-25 |
| 1265813430 | Silver Cliff Rescue Squad Fund, Inc. | Ambulance | W13600 County Road C, Silver Cliff, WI 54104-9543 | 2015-06-14 |
| 1033548235 | South Area Fire & Emergency Response District | Ambulance | 5901 Hummingbird Rd, Wausau, WI 54401-8627 | 2013-11-07 |
| 1245594522 | Sullivan-prestige Ambulance, Inc | Ambulance | N5214 N Helenville Rd, Helenville, WI 53137-9704 | 2012-07-01 |
| 1992960413 | Xtreme Care LLC | Ambulance | W1662 North St, Green Lake, WI 54941-9029 | 2008-07-24 |
| 1508024340 | Birchwood Four Corners Emergency Services District | Ambulance | 119 W Park Ave, Birchwood, WI 54817-8601 | 2008-05-29 |
| 1518134568 | Central Price Co Ambulance Service, Inc | Ambulance | 104c N Argyle, Phillips, WI 54555 | 2008-05-09 |
| 1730362765 | County of Rusk | Ambulance | 311 Miner Ave E Ste L330, Ladysmith, WI 54848-1862 | 2007-12-13 |
| 1164601522 | Village of Plum City | Ambulance | 309 Maple Ave W, Plum City, WI 54761-9015 | 2007-11-01 |
| Find all providers with the same taxonomy | ||||
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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.