# GREAT LAKES EMS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Action Sports EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972845337
- **Authorized official:** MR. RYAN C MC CLINTOCK NREMT (DIRECTOR)
- **Authorized official phone:** (715) 889-4491

## Contact information

- **Practice address:** 649 COUNTY ROAD 2150E, CASEY, IL 62420-4136
- **Practice address phone:** (715) 889-4491
- **Practice address fax:** (855) 425-3066
- **Mailing address:** PO BOX 35, SHELDON, IL 60966-0035
- **Mailing address phone:** (715) 889-4491
- **Mailing address fax:** (855) 425-3066

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 03 3099 | IL | Yes |
| 3416L0300X | Land Ambulance | 6604935 | WI | — |

## Other

- **Enumeration date:** 03/25/2013
- **Last updated:** 09/23/2026