Organization Name: | CASSVILLE RESCUE SQUAD |
NPI Number: | 1306149208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD GRYBOS (DIRECTOR) |
Mailing Address: | 310 W. Amelia Street Cassville |
State: | WI US |
Postal Code: | 538069735 |
Phone Number: | 6087255995 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2010 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146N00000X |
License Number: | 6001017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Basic |
Taxonomy Specialization: | |
Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |