Organization Active NPI

City of Horicon

  • Land Ambulance
  • Horicon, WI
National Provider Identifier
1104830496
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF HORICON
Practice address
404 E Lake St
Horicon, WI 53032-1245
Phone
(920) 485-3500
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Ms. Sarah Heine
Title
Administrative Assistant
Phone
(920) 485-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

404 E Lake St
Horicon, WI 53032-1245

Mailing address

404 E Lake St
Horicon, WI 53032-1297
Phone (920) 485-3500

Other identifiers 1

IdentifierTypeStateIssuer
41341200MedicaidWI

National Provider Directory

National Provider Directory

Locations

220 Ellison St
Horicon, WI 53032
Phone (920) 485-3512

404 E Lake St
Horicon, WI 53032
Phone (414) 485-3500

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1104830496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E LAKE ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321297",
            "telephone_number": "920-485-3500",
            "fax_number": "920-485-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E LAKE ST",
            "city": "HORICON",
            "state": "WI",
            "postal_code": "530321245",
            "telephone_number": "920-485-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HORICON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "920-485-3500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horicon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.