Town of Linn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001257 Issued in WI

Legal business name

TOWN OF LINN

Doing business as

Town of Linn Fire & EMS

Practice address

N1457 Hillside Rd
Lake Geneva, WI 53147-4235

Phone

(262) 275-6300

Fax

(262) 275-8261

NPI assigned

Jun 2, 2006

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWN OF LINNAs reported in NPPES

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

Authorized official

Name

Ms. Sue Polyack

Title

Clerk/Treasurer

Phone

(262) 275-6300

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Town of Linn Fire & EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Part of

Town of Linn

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Christopher Jolly, ATC, EMT-B

  • Basic Emergency Medical Technician
  • Lake Geneva, WI
  • NPI 1962916395
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1093752362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1457 HILLSIDE RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474235",
            "telephone_number": "262-275-6300",
            "fax_number": "262-275-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N1457 HILLSIDE RD",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474235",
            "telephone_number": "262-275-6300",
            "fax_number": "262-275-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LINN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF LINN",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "POLYACK",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "CLERK/TREASURER",
        "authorized_official_telephone_number": "262-275-6300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41356100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H.I.R.S.P.",
            "identifier": "41356100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00231925",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN RENAL PROGRAM",
            "identifier": "41356100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Linn Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Tillis
• Lee Michael Tisa, D.P.M.
• Sarah Tomecek, DPT
• Nicole Tomlin, DPT
• Total Renal Care Inc (Lake Geneva Dialysis)
• Carly Diane Triebensee, PA
• Nicole Rae Trunk, OTR/L
• Michele Turcotte
• Megan Uhlenhake, LPC-IT
• Meredith Sue Umnus, PT

• Land Ambulance in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.