Deer-Grove Ems District

LBN: Deer-Grove Ems District
Deer-Grove Ems District is an health care organization with primary practice located at 4030 County Rd N , Cottage Grove WI 53527-8305. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Deer-Grove Ems District can be contacted via phone (608) 839-5658, or through Robinson, Jess via phone (608) 839-5658.

Contact Information

Primary practice address
4030 County Rd N Cottage Grove WI 53527-8305
Phone: (608) 839-5658
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Jess
Phone: (608) 839-5658

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1356392625
LBN Legal business name Deer-Grove Ems District
DBA Doing business as
Authorized official Robinson, Jess
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Aug 22nd, 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 1356392625 NPPES
Wisconsin MEDICAID 41309000
Wisconsin MEDICAID 0045853
Wisconsin Other 41309000
Wisconsin Other WI0101
Wisconsin Other 1041104
Wisconsin Other 41309000

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