Organization Active NPI

City of West Allis

  • Land Ambulance
  • West Allis, WI
National Provider Identifier
1073564241
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF WEST ALLIS
Doing business as
City of West Allis Fire Dept Ambulance Service
Practice address
7332 W National Ave
West Allis, WI 53214-4736
Phone
(414) 302-8910
NPI assigned
May 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mason Pooler
Title
Fire Chief
Phone
(414) 302-8904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

7332 W National Ave
West Allis, WI 53214-4736

Mailing address

7332 W National Ave
West Allis, WI 53214-4736
Phone (414) 302-8910

Other identifiers 14

IdentifierTypeStateIssuer
41352100OtherMANAGED HEALTH MAHMO
41352100OtherNETWORK HEALTH PLAN MAHMO
1012463OtherPHYSICIAN'S PLUS
41352100MedicaidWI
037381OtherHEALTH ALLIANCE MEDICAL
41352100OtherWIGAMP
5553OtherNETWORK HEALTH PLAN CONVE
6283128-00MedicaidMN
0000003962OtherVITAS HEALTHCARE CORP
WI0101OtherJOHN DEERE
000083917OtherADVOCARE MC HMO
0980516OtherIAMEDICAL ASSOCIATES HMO
942377MedicaidAZ
41352100OtherWIHIRSP

Other names 1

  • City of West Allis Fire Dept Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050922000783 WI Part B Supplier - Ambulance Service Supplier 9537193198 Practice locations: West Allis, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of West Allis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7332 W National Ave
West Allis, WI 53214
Phone (414) 302-8904

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1073564241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7332 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144736",
            "telephone_number": "414-302-8910",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7332 W NATIONAL AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144736",
            "telephone_number": "414-302-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WEST ALLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "POOLER",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "414-302-8904"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH MAHMO",
            "identifier": "41352100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN MAHMO",
            "identifier": "41352100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1012463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41352100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE MEDICAL",
            "identifier": "037381",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GAMP",
            "identifier": "41352100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN CONVE",
            "identifier": "5553",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6283128-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VITAS HEALTHCARE CORP",
            "identifier": "0000003962",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MC HMO",
            "identifier": "000083917",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSOCIATES HMO",
            "identifier": "0980516",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942377",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41352100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of West Allis Fire Dept Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of West Allis Fire Dept Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.