1. Home
  2. Directory
  3. Wisconsin
  4. Black Creek
  5. Ambulance
  6. NPI Profile

BLACK CREEK RESCUE SERVICE
NPI 1942233648
Ambulance in Black Creek, WI

Active since July 08, 2006CLIA 52D0982945 · Waiver
W5200 COUNTY RD B, BLACK CREEK, WI 54106(920) 984-3444(920) 984-9395 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Black Creek Rescue Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK CREEK RESCUE SERVICE (NPI 1942233648) is a healthcare organization registered as an ambulance in Black Creek, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Kathy Pasch, Cooridinatorfinancial Secretary, as its authorized official.

NPPES Registry Identity

NPI1942233648
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBLACK CREEK RESCUE SERVICE
Location AddressW5200 COUNTY RD BBlack Creek, WI 54106
Mailing AddressW5200 County Rd B, Po Box 143Black Creek, WI 54106 · (920) 984-3444 · Fax (920) 984-9395
Phone(920) 984-3444
Fax(920) 984-9395
Organization SubpartNo
Authorized OfficialKathy PaschCooridinatorfinancial Secretary · (920) 213-1513
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1942233648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in WI · 60-01367
Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

W5200 COUNTY RD B, Black Creek, WI 54106
Open in Google Maps ↗

Other Identifiers 1

Medicaid41305100WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0982945

Black Creek Rescue · Black Creek, WI
Active · expires Feb 8, 2027
CLIA Number52D0982945
Laboratory TypeAmbulance
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorKathy F. Pasch
Laboratory Phone(920) 984-3444
Laboratory LocationBlack Creek RescueW5200 Cty Rd B, Black Creek, WI 54106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Creek Rescue Service's NPI number?

The NPI number for Black Creek Rescue Service is 1942233648. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Black Creek Rescue Service located?

Black Creek Rescue Service is located at W5200 County Rd B, Black Creek, WI 54106. The listed phone number is (920) 984-3444.

What is Black Creek Rescue Service's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Black Creek Rescue Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0982945) is associated with this NPI, valid through February 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Black Creek Rescue Service was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.