Active NPI
The Arc of Fond Du Lac Inc
- Non-emergency Medical Transport (VAN)
- Fond Du Lac, WI
National Provider Identifier
1003078247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- THE ARC OF FOND DU LAC INC
- Practice address
- 500 N Park Ave
Fond Du Lac, WI 54935-1943 - Phone
- (920) 923-3810
- Fax
- (920) 923-3038
- NPI assigned
- Jun 30, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen P Kirschner
- Title
- Executive Director
- Phone
- (920) 923-3810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
500 N Park Ave
Fond Du Lac, WI 54935-1943
Mailing address
500 N Park Ave
Fond Du Lac, WI 54935-1943
Phone (920) 923-3810
National Provider Directory
National Provider Directory- Tax ID family
- Associated Pediatric Therapists
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- Fond Du Lac, WI
- NPI 1003993809
-
- Developmentally Disabled Services Day Training Agency
- Fond Du Lac, WI
- NPI 1801029780
Locations
500 N Park Ave
Fond du Lac, WI 54935
Phone (920) 923-3810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1003078247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N PARK AVE",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549351943",
"telephone_number": "920-923-3810",
"fax_number": "920-923-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N PARK AVE",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549351943",
"telephone_number": "920-923-3810",
"fax_number": "920-923-3038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARC OF FOND DU LAC INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "KIRSCHNER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "920-923-3810",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.