Fremont- Wolf River EMS,LTD.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

6001168 Issued in WI

Legal business name

FREMONT- WOLF RIVER EMS,LTD.

Practice address

E7405 Highway 110
Fremont, WI 54940

Phone

(920) 446-2288

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Philip Lewin

Title

Secretary-Treasurer

Phone

(920) 446-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174668495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "549400393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E7405 HIGHWAY 110",
            "city": "FREMONT",
            "state": "WI",
            "postal_code": "54940",
            "telephone_number": "920-446-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREMONT- WOLF RIVER EMS,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "920-446-2288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6001168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41339400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Fremont, WI
• Providers in Fremont, WI by specialty
• 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.
• 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.