Organization Active NPI

City of Sheboygan

Doing business as Sheboygan Fire Department

  • Land Ambulance
  • Sheboygan, WI
National Provider Identifier
1003090051
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF SHEBOYGAN
Doing business as
Sheboygan Fire Department
Practice address
1326 N 25TH St
Sheboygan, WI 53081
Phone
(920) 459-3327
Fax
(920) 459-0209
NPI assigned
Dec 27, 2007
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David SulikNPI 1760602072
Title
Oper MGR
Phone
(262) 375-9610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WI Primary

Addresses

Primary practice location

1326 N 25TH St
Sheboygan, WI 53081

Mailing address

PO Box 72140
Cedarburg, WI 53012-7340
Phone (262) 375-9610

Other names 1

  • SHEBOYGAN FIRE DEPARTMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000951 WI Part B Supplier - Ambulance Service Supplier 4688753817 Practice locations: Sheboygan, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1071017City of Sheboygan Fire Dept1326 N 25TH St, Sheboygan, WI 53081Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

1326 N 25th St
Sheboygan, WI 53081
Phone (920) 459-3324

2413 S 18th St
#2
Sheboygan, WI 53081
Phone (920) 459-3332

2622 N 15th St
#4
Sheboygan, WI 53083
Phone (920) 459-3330

4504 S 18th St
#5
Sheboygan, WI 53081
Phone (920) 459-3435

833 New York Ave
#1
Sheboygan, WI 53081
Phone (920) 459-3331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1003090051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 N 25TH ST",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "53081",
            "telephone_number": "920-459-3327",
            "fax_number": "920-459-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SHEBOYGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPER MGR",
        "authorized_official_telephone_number": "262-375-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHEBOYGAN FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.