Active NPI
Town of Marengo
- Ambulance
- Marengo, WI
National Provider Identifier
1013597400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TOWN OF MARENGO
- Practice address
- 41652 Fire Department Ave
Marengo, WI 54855-3491 - Phone
- (715) 413-1374
- NPI assigned
- Apr 10, 2021
- Organization subpart
- Yes
- Parent organization
- TOWN OF MARENGO
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt Blakeman, PARAMEDIC
- Title
- Assistant Director
- Phone
- (715) 413-1374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
41652 Fire Department Ave
Marengo, WI 54855-3491
Mailing address
40345 Hanninen Rd
Marengo, WI 54855-4512
National Provider Directory
National Provider Directory- Part of
- Town of Marengo
Locations
41652 Fire Department Ave
Marengo, WI 54855
Phone (715) 278-3753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1013597400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40345 HANNINEN RD",
"city": "MARENGO",
"state": "WI",
"postal_code": "548554512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41652 FIRE DEPARTMENT AVE",
"city": "MARENGO",
"state": "WI",
"postal_code": "548553491",
"telephone_number": "715-413-1374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MARENGO",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWN OF MARENGO",
"enumeration_date": "2021-04-10",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A",
"authorized_official_last_name": "BLAKEMAN",
"authorized_official_first_name": "KURT",
"authorized_official_title_or_position": "ASSISTANT DIRECTOR",
"authorized_official_telephone_number": "715-413-1374",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.