Organization Active NPI

Rio Community Fire Association

Doing business as Rio EMS

  • Land Ambulance
  • Rio, WI
National Provider Identifier
1083822688
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
60-00092 Issued in WI
Legal business name
RIO COMMUNITY FIRE ASSOCIATION
Doing business as
Rio EMS
Practice address
301 W Rio St
Rio, WI 53960-8019
Phone
(920) 992-5605
Fax
(920) 992-3513
NPI assigned
May 18, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. John David Butterbaugh
Title
Director
Phone
(920) 992-6032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 60-00092 WI Primary

Addresses

Primary practice location

301 W Rio St
Rio, WI 53960-8019

Mailing address

PO Box 248
301 West Rio Street
Rio, WI 53960-0248
Phone (920) 992-5605

Other names 1

  • Rio EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000559 WI Part B Supplier - Ambulance Service Supplier 9133291982 Practice locations: Rio, WI

National Provider Directory

National Provider Directory

Locations

301 W Rio St
Rio, WI 53960
Phone (920) 992-5605

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1083822688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "address_2": "301 WEST RIO STREET",
            "city": "RIO",
            "state": "WI",
            "postal_code": "539600248",
            "telephone_number": "920-992-5605",
            "fax_number": "920-992-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W RIO ST",
            "city": "RIO",
            "state": "WI",
            "postal_code": "539608019",
            "telephone_number": "920-992-5605",
            "fax_number": "920-992-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO COMMUNITY FIRE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BUTTERBAUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-992-6032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "60-00092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rio EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.