City of Whitewater
Organization Active NPI Land Ambulance · Whitewater, WI
NPI 1154323129 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1154323129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 6000512 (WI)
- Legal business name
- CITY OF WHITEWATER
- Practice address
- 312 W Whitewater St
Whitewater, WI 53190-1940 - Phone
- (262) 473-0510
- Fax
- (262) 375-9608
- NPI assigned
- Aug 10, 2005
- Organization subpart
- No
Authorized official
- Name
- Jeremiah Thomas
- Title
- Comptroller
- Phone
- (262) 473-1381
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090130000196 | WI | Part B Supplier - Ambulance Service Supplier | 6608930037 | Practice locations: Whitewater, WI |
National Provider Directory
- Tax ID family
- City of Whitewater
Locations
312 W Whitewater St
Whitewater, WI 53190
Phone (262) 473-0115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6000512 | WI | Yes |
Addresses
Primary practice location
312 W Whitewater St
Whitewater, WI 53190-1940
Mailing address
312 W Whitewater St
Whitewater, WI 53190-1940
Phone (262) 473-1381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504844 | Other | WI | DEAN CARE |
| 41342300 | Medicaid | WI | |
| 590012061 | Other | WI | RR MEDICARE |
Other names
- Whitewater Fire Department
Other providers in Whitewater, WI
- Brotoloc South, Inc.
- Maria Ann Brown
- Laura B Carney
- Chrysalis Psychotherapy LLC
- Judith Ciasto
- Erin Kae Clark
- Kelsey Clark
- Jason A Cliffgard
- Clinical Chiropractic of Whitewater, S.C.
- Jeffrey Douglas Cook
All providers in Whitewater, WI · Land Ambulance in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.