Village of Palmyra

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6604921 Issued in WI

Legal business name

VILLAGE OF PALMYRA

Practice address

126 N. First Street
Palmyra, WI 53156

Phone

(262) 495-2380

NPI assigned

Mar 29, 2012

Last updated

Jul 2, 2012By 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

Lawrence Claude Kreger

Title

Fire Chief

Phone

(262) 495-2380

Specialties & licenses 1

Addresses

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": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1073889580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380",
            "address_2": "100 W TAFT ST.",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "53156",
            "telephone_number": "262-495-8316",
            "fax_number": "262-495-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N. FIRST STREET",
            "city": "PALMYRA",
            "state": "WI",
            "postal_code": "53156",
            "telephone_number": "262-495-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF PALMYRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "KREGER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "262-495-2380"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6604921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Seegers
• Amber Stroud, MS, LPC
• Jennifer L Tison
• Kathleen Ann Turck, APNP
• Jenna Vanallen
• Village Primary Care Providers LLC

• Land Ambulance in Palmyra, WI
• Providers in Palmyra, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.