Black Creek Rescue Service

LBN: Black Creek Rescue Service
Black Creek Rescue Service is an health care organization with primary practice located at W5200 County Rd B , Black Creek WI 54106. The organization recently has only one registered license in Transportation Services / Ambulance, which is considered as the primary health care specialty. Black Creek Rescue Service can be contacted via phone (920) 984-3444, or through Pasch, Kathy via phone (920) 213-1513.

Contact Information

Primary practice address
W5200 County Rd B Black Creek WI 54106
Fax: (920) 984-9395
Website:
Authorized official contact:
Name: Pasch, Kathy EMT-I

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 60-01367 Wisconsin

Profile Details

NPI number 1942233648
LBN Legal business name Black Creek Rescue Service
DBA Doing business as
Authorized official Pasch, Kathy EMT-I
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942233648 NPPES
Wisconsin MEDICAID 41305100

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