Active NPI
New Glarus Emergency Medical Service, Inc.
Doing business as New Glarus EMS, Inc.
- Land Ambulance
- New Glarus, WI
National Provider Identifier
1073567848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- NEW GLARUS EMERGENCY MEDICAL SERVICE, INC.
- Doing business as
- New Glarus EMS, Inc.
- Practice address
- 401 3Rd Ave
New Glarus, WI 53574-9772 - Phone
- (608) 527-5067
- NPI assigned
- May 19, 2006
- Last updated
- Oct 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kris Mueller
- Title
- Chief
- Phone
- (608) 527-5067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
401 3Rd Ave
New Glarus, WI 53574-9772
Mailing address
PO Box 286
New Glarus, WI 53574-0286
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41342100 | Other | WI | HIRSP |
| 1012335 | Other | PHYSICIAN'S PLUS | |
| 41342100 | Medicaid | WI | |
| 000088544 | Other | ADVOCARE MCHMO | |
| WI0100 | Other | JOHN DEERE |
Other names 1
- New Glarus EMS, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040124000008 | WI | Part B Supplier - Ambulance Service Supplier | 5193627677 | Practice locations: New Glarus, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0965006 | New Glarus Emergency Medical Service | Certificate of waiver | Sep 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
N2930 State Road 22
Wautoma, WI 54982
Phone (800) 786-4911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349740800000",
"number": "1073567848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 286",
"city": "NEW GLARUS",
"state": "WI",
"postal_code": "535740286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 3RD AVE",
"city": "NEW GLARUS",
"state": "WI",
"postal_code": "535749772",
"telephone_number": "608-527-5067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW GLARUS EMERGENCY MEDICAL SERVICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2012-10-09",
"status": "A",
"authorized_official_last_name": "MUELLER",
"authorized_official_first_name": "KRIS",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "608-527-5067"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIRSP",
"identifier": "41342100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S PLUS",
"identifier": "1012335",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41342100",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCARE MCHMO",
"identifier": "000088544",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "WI0100",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Glarus EMS, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Glarus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.