Organization Active NPI

City of Green Bay Office of Comptroller

  • Land Ambulance
  • Green Bay, WI
National Provider Identifier
1114075389
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6000168 Issued in WI
Legal business name
CITY OF GREEN BAY OFFICE OF COMPTROLLER
Doing business as
City of Green Bay Ambulance
Practice address
501 S Washington St
Green Bay, WI 54301-4218
Phone
(920) 448-3277
Fax
(920) 448-3281
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Mr. Matthew Knott
Title
Fire Chief
Phone
(920) 448-3277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6000168 WI Primary

Addresses

Primary practice location

501 S Washington St
Green Bay, WI 54301-4218

Mailing address

501 S Washington St
Green Bay, WI 54301-4218
Phone (920) 448-3277

Other identifiers 2

IdentifierTypeStateIssuer
41348600MedicaidWI
590094290OtherWIMEDICARE RAILROAD

Other names 1

  • City of Green Bay Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090106000137 WI Part B Supplier - Ambulance Service Supplier 8820151657 Practice locations: Green Bay, WI

National Provider Directory

National Provider Directory

Locations

501 S Washington St
Green Bay, WI 54301
Phone (920) 448-3277

885 Shawano Ave
Green Bay, WI 54303
Phone (920) 448-3280

135 Dauphin St
Green Bay, WI 54301
Phone (414) 448-2806

929 University Ave
Green Bay, WI 54302
Phone (920) 448-3280

1701 W Mason St
Green Bay, WI 54303
Phone (920) 448-3280

3489 Humboldt Rd
Green Bay, WI 54311
Phone (920) 448-3280

2650 W Point Rd
Green Bay, WI 54304
Phone (920) 448-3280

2310 Finger Rd
Green Bay, WI 54302
Phone (920) 448-3280

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1114075389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014218",
            "telephone_number": "920-448-3277",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WASHINGTON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014218",
            "telephone_number": "920-448-3277",
            "fax_number": "920-448-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GREEN BAY OFFICE OF COMPTROLLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "920-448-3277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41348600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590094290",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Green Bay Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.