Provider Demographics
NPI:1891878757
Name:BERNARD RESCUE UNIT INC
Entity Type:Organization
Organization Name:BERNARD RESCUE UNIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GASSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-879-3210
Mailing Address - Street 1:PO BOX 14
Mailing Address - Street 2:
Mailing Address - City:BERNARD
Mailing Address - State:IA
Mailing Address - Zip Code:52032-0014
Mailing Address - Country:US
Mailing Address - Phone:563-879-3210
Mailing Address - Fax:563-879-3910
Practice Address - Street 1:547 ROLUS ST
Practice Address - Street 2:
Practice Address - City:BERNARD
Practice Address - State:IA
Practice Address - Zip Code:52032-4407
Practice Address - Country:US
Practice Address - Phone:563-879-3210
Practice Address - Fax:563-879-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA23116003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA45816OtherWELLMARK
IA0763235Medicaid
IA0763235Medicaid