SILVER LAKE RESCUE SQUAD INC (NPI# 1821104209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821104209 |
Entity Type | Organization |
Organization Name | SILVER LAKE RESCUE SQUAD INC |
Practice Address |
209 E Lake St Silver Lake WI 53170 |
Mailing Address |
Po Box 72140 Cedarburg WI 53012-7340 |
Practice Telephone | 2628898093 |
Mailing Telephone | 2623759610 |
Enumeration Date | 2006-08-21 |
Last Update Date | 2007-10-10 |
Authorized Official Name | MR. DAVID SULIK (BILLING MANAGER) |
Authorized Official Telephone | 2623759610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 41356500 | 05 |
Street Address |
209 E LAKE ST |
City | SILVER LAKE |
State | WI |
Zip Code | 53170 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649459637 | Jt School Dist No 1 | Local Education Agency (LEA) | 300 E Prosser St, Silver Lake, WI 53170-1409 | 2007-10-26 |
1265750798 | Dawn Marie Reuter | Occupational Therapist | 645 Fourth Ct, Silver Lake, WI 53170-1436 | 2010-05-07 |
1376058941 | Kendra Maksen | Speech-Language Pathologist | 114 W Elm St, Silver Lake, WI 53170-1509 | 2017-12-05 |
1174798110 | Nicole Lee Kusters | Physical Therapy Assistant | 310 W Depot St, Silver Lake, WI 53170-1529 | 2008-04-29 |
1437793478 | Michael John Paul Sokolski | Specialist/Technologist | 112 W Depot St, Silver Lake, WI 53170-1531 | 2019-11-02 |
1477854016 | Jessica Ann Ernst | Registered Nurse | 310 E Lake St, Silver Lake, WI 53170-1728 | 2010-11-13 |
1639332562 | Speech & Langauge Therapy and Rehabilitation Specialists | Speech-Language Pathologist | 401 E Lake St, Silver Lake, WI 53170-1729 | 2008-07-10 |
1568931541 | Kenosha Community Health Center, Inc | Clinic/Center | 903 S 2nd St, Silver Lake, WI 53170-1747 | 2018-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083238331 | Brooke Ann Huffman | Registered Nurse | 5332 W 1300 S, Silver Lake, IN 46982-8528 | 2020-06-02 |
1033680715 | Lake County School Dist. #14 | Local Education Agency (LEA) | 57566 Fort Rock Rd, Silver Lake, OR 97638-9629 | 2018-12-06 |
1609384676 | A2b Transportation LLC | Non-emergency Medical Transport (VAN) | 110 Century Ln, Silver Lake, MN 55381-6174 | 2018-01-11 |
1316482383 | Natural Fit LLC | Prosthetic/Orthotic Supplier | 408 Circle Dr, Suite C, Silver Lake, KS 66539-9520 | 2016-12-30 |
1134571979 | Sarah Zuch | Physical Therapist | 2980 Silver Lake Blvd, Silver Lake, OH 44224-3035 | 2016-07-05 |
1033583059 | Kristin Weaver | Speech-Language Pathologist | 3016 Vincent Rd, Silver Lake, OH 44224-2947 | 2015-11-16 |
1184096604 | Barry Kiernan | Speech-Language Pathologist | 3121 E Edgerton Rd, Silver Lake, OH 44224-3108 | 2015-10-23 |
1821471749 | Hope Hayes | Dietitian, Registered | 92 Charlotte Point Road, Silver Lake, NH 03875 | 2015-07-09 |
1558755298 | Austin Dodds | Specialist/Technologist | 200 Rice Rd, Silver Lake, KS 66539-9682 | 2015-03-19 |
1871911099 | Jane W. Steinhouse | Mechanotherapist | 3089 Endicott Way, 3089 Endicott Way, Silver Lake, OH 44224-3803 | 2014-04-03 |
Find all providers in SILVER LAKE |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | SILVER LAKE |
Zip Code | 53170 |
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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.