Camp Douglas Rescue, Inc.

LBN: Camp Douglas Rescue, Inc.
Camp Douglas Rescue, Inc. is an health care organization with primary practice located at 302 Center St , Camp Douglas WI 54618. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Camp Douglas Rescue, Inc. can be contacted via phone (608) 427-6969, or through Newlun, James Charles via phone (608) 427-3809.

Contact Information

Primary practice address
302 Center St Camp Douglas WI 54618
Phone: (608) 427-6969
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Newlun, James Charles AEMT
Phone: (608) 427-3809

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1295780419
LBN Legal business name Camp Douglas Rescue, Inc.
DBA Doing business as
Authorized official Newlun, James Charles AEMT
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Jan 2nd, 2020 - about 4 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 1295780419 NPPES
Illinois MEDICAID 391210787001
Illinois Other WI0101
Illinois Other 000084544
Illinois MEDICAID 41345500
Illinois Other 018092
Illinois Other 1012287

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