Organization Name: | NORTHWEST RESCUE LLC |
NPI Number: | 1265878086 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RYAN KURTH (OWNER) |
Mailing Address: | 102 Dunlap St Harvard |
State: | IL US |
Postal Code: | 600332904 |
Phone Number: | 8155607691 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 08/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |