Palmyra Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PALMYRA FIRE DISTRICT

Practice address

126 N First Street
Palmyra, WI 53156

Phone

(262) 375-9610

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Sulik

Title

Oper MGR

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104029115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340"
        },
        {
            "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": "262-375-9610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMYRA FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPER MGR",
        "authorized_official_telephone_number": "262-375-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41344500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall R Leanna, D.C.
• Connie Elisabeth Meyer, RN
• Sarah A Moore, D.C.
• Kimberly Lynn Nations, RN
• Rachael Omdoll
• Palmyra-Eagle Area School District
• Elizabeth Susan Reid, APNP
• Colleen A Ryan, PHD
• Shannon Seegers
• Amber Stroud, MS, LPC

• All providers in Palmyra, WI
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.