City of Mequon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000977 Issued in WI

Legal business name

CITY OF MEQUON

Practice address

11300 N Buntrock Ave
Mequon, WI 53092-1843

Phone

(262) 242-0205

NPI assigned

May 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Watson

Title

Finance Director

Phone

(262) 236-2948

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144277740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530921930",
            "telephone_number": "262-236-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 N BUNTROCK AVE",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530921843",
            "telephone_number": "262-242-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MEQUON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "262-236-2948"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41331300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Grace Chow, PA
• Eva Christensen, M.D., PH.D.
• Shron Marie Christman-Powell, HCP
• Audrey Lynette Chu, DDS
• Raven Elizabeth Ciezki
• Lynn Marie Clark, RD
• Kara Claussner
• Tierra Lashawn Clifton
• Tiera Virginia Cobbs
• Colab Physicians, SC

• Land Ambulance in Mequon, WI
• Providers in Mequon, WI by specialty
• 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.