SUPERIOR AIR-GROUND AMBULANCE SERVICES OF WISCONSIN, INC (NPI# 1588141345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588141345 |
| Entity Type | Organization |
| Organization Name | SUPERIOR AIR-GROUND AMBULANCE SERVICES OF WISCONSIN, INC |
| Practice Address |
211 Madison St Walworth WI 53184-9680 |
| Mailing Address |
395 W Lake St Elmhurst IL 60126-1508 |
| Practice Telephone | 6302340170 |
| Mailing Telephone | 6305381887 |
| Mailing Fax Number | 6309032835 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Authorized Official Name | KIMBERLY PATE GODDEN (VICE PRESIDENT) |
| Authorized Official Telephone | 6309032401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Street Address |
211 MADISON ST |
| City | WALWORTH |
| State | WI |
| Zip Code | 53184-9680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558835637 | Susan Jane Diderich | Registered Nurse | 211 Bonito St, Walworth, WI 53184 | 2019-01-11 |
| 1104007764 | Big Foot Union High School | Local Education Agency (LEA) | 401 Devils Ln, 99, Walworth, WI 53184 | 2007-11-23 |
| 1821149758 | Glenn Alan Wergin | Dentist | 100 N Main St, Walworth, WI 53184 | 2007-01-16 |
| 1891802344 | Janis A Lowell | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-23 |
| 1346357860 | Dale Gary Jacobson | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-23 |
| 1730198870 | Deana L Courier | Family Medicine | 525 Kenosha St, #a, Walworth, WI 53184 | 2006-08-07 |
| 1821236506 | Jennifer L Van Vleet | Registered Nurse | N2348 County Road F, Walworth, WI 53184-5662 | 2009-02-03 |
| 1972124980 | Lake Geneva Psychology, Inc. | Psychologist | 630 Kenosha St, Walworth, WI 53184-9505 | 2020-04-30 |
| 1619117488 | Victoria Ann Knull | Registered Nurse | 126 Howard St, Walworth, WI 53184-9509 | 2009-03-05 |
| 1881703676 | Mccullough Pharmacy Inc | Pharmacy | 547 Kenosha St, Walworth, WI 53184-9512 | 2006-08-29 |
| Find all providers in zip 53184 | ||||
| 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 |
|---|---|---|---|---|
| 1497223069 | North Central Safety Services, LLC | Ambulance | 3204 Washington Ave Rear, Racine, WI 53405-3037 | 2018-11-12 |
| 1366803363 | Great Lakes Ems Inc | Ambulance | 600 Century Oaks Dr, Menasha, WI 54952-1095 | 2016-03-18 |
| 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.