Active NPI
City of Green Bay Office of Comptroller
- Land Ambulance
- Green Bay, WI
National Provider Identifier
1114075389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6000168
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41348600 | Medicaid | WI | |
| 590094290 | Other | WI | MEDICARE RAILROAD |
Other names 1
- City of Green Bay Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090106000137 | WI | Part B Supplier - Ambulance Service Supplier | 8820151657 | Practice locations: Green Bay, WI |
National Provider Directory
National Provider DirectoryLocations
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.