Birnamwood Area Ambulance

Primary specialty

AmbulanceTaxonomy code 341600000X

License

60-00056 Issued in WI

Legal business name

BIRNAMWOOD AREA AMBULANCE

Practice address

365 Birch St
Birnamwood, WI 54414-9208

Phone

(715) 449-3133

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda J Vollmar

Title

Billing Secretary

Phone

(715) 623-3633

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073558771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EDISON ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091955",
            "telephone_number": "715-623-3633",
            "fax_number": "715-627-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 BIRCH ST",
            "city": "BIRNAMWOOD",
            "state": "WI",
            "postal_code": "544149208",
            "telephone_number": "715-449-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRNAMWOOD AREA AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOLLMAR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SECRETARY",
        "authorized_official_telephone_number": "715-623-3633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "60-00056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41326600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00299813",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cori Ann Bauch, RN
• Blade Richard Cameron
• Stacey Delforge
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin (Aspirus Birnamwood Clinic)
• Sheryl Lynn Melotik
• Melody Ann Michalski, RN

• Ambulance in Birnamwood, WI
• Providers in Birnamwood, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.