Provider Demographics
NPI:1609290873
Name:BADGER EMS INC
Entity type:Organization
Organization Name:BADGER EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY-TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALVERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-393-8848
Mailing Address - Street 1:N873 CLUB CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU SAC
Mailing Address - State:WI
Mailing Address - Zip Code:53578-9560
Mailing Address - Country:US
Mailing Address - Phone:608-393-8848
Mailing Address - Fax:608-370-6480
Practice Address - Street 1:N873 CLUB CIRCLE DR
Practice Address - Street 2:
Practice Address - City:PRAIRIE DU SAC
Practice Address - State:WI
Practice Address - Zip Code:53578-9560
Practice Address - Country:US
Practice Address - Phone:608-393-8848
Practice Address - Fax:608-370-6480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-09
Last Update Date:2014-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)