NPIMap

Organization Active NPI

Stephen L Bickle

  • Land Ambulance
  • Union Grove, WI
National Provider Identifier
1073804647
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
STEPHEN L BICKLE
Practice address
1220 136 Ave
Union Grove, WI 53182-9415
Phone
(262) 620-3308
NPI assigned
Apr 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Ethan Bickle
Title
President
Phone
(262) 620-3308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NE Primary

Addresses

Primary practice location

1220 136 Ave
Union Grove, WI 53182-9415

Mailing address

PO Box 641880
Omaha, NE 68164-7880
Phone (402) 572-4019

Other names 1

  • ACE AMBULANCE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1073804647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 136 AVE",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531829415",
            "telephone_number": "262-620-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L BICKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "BICKLE",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-620-3308"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACE AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.