Provider Demographics
NPI:1942285911
Name:NIAGARA AREA EMERGENCY UNIT, INC
Entity Type:Organization
Organization Name:NIAGARA AREA EMERGENCY UNIT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:CLETUS
Authorized Official - Last Name:RABIDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-B
Authorized Official - Phone:715-251-3136
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:NIAGARA
Mailing Address - State:WI
Mailing Address - Zip Code:54151-0066
Mailing Address - Country:US
Mailing Address - Phone:715-251-3136
Mailing Address - Fax:715-251-3136
Practice Address - Street 1:1241 JACKSON ST
Practice Address - Street 2:
Practice Address - City:NIAGARA
Practice Address - State:WI
Practice Address - Zip Code:54151-1233
Practice Address - Country:US
Practice Address - Phone:715-251-3136
Practice Address - Fax:715-251-3136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6001089341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance