Organization Active NPI

New Glarus Emergency Medical Service, Inc.

Doing business as New Glarus EMS, Inc.

  • Land Ambulance
  • New Glarus, WI
National Provider Identifier
1073567848
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41342100OtherWIHIRSP
1012335OtherPHYSICIAN'S PLUS
41342100MedicaidWI
000088544OtherADVOCARE MCHMO
WI0100OtherJOHN DEERE

Other names 1

  • New Glarus EMS, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040124000008 WI Part B Supplier - Ambulance Service Supplier 5193627677 Practice locations: New Glarus, WI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0965006New Glarus Emergency Medical Service401 Third St, New Glarus, WI 53574Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.