Organization Active NPI

Town of St. Germain

  • Land Ambulance
  • St. Germain, WI
National Provider Identifier
1033604061
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF ST. GERMAIN
Practice address
553 State Highway 155
St. Germain, WI 54558
Phone
(715) 542-3850
NPI assigned
Jun 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Authorized official

Name
Timothy Richard Gebhardt
Title
Chief
Phone
(715) 891-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

553 State Highway 155
St. Germain, WI 54558

Mailing address

PO Box 12
Saint Germain, WI 54558-0012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181112000835 WI Part B Supplier - Ambulance Service Supplier 2062766025 Practice locations: Saint Germain, WI

National Provider Directory

National Provider Directory

Locations

553 State Highway 155
Saint Germain, WI 54558
Phone (715) 542-3850

NPI Registry JSON

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1033604061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "SAINT GERMAIN",
            "state": "WI",
            "postal_code": "545580012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 STATE HIGHWAY 155",
            "city": "ST. GERMAIN",
            "state": "WI",
            "postal_code": "54558",
            "telephone_number": "715-542-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ST. GERMAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "GEBHARDT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "715-891-1800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Germain, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.