NPIMap

Organization Active NPI

Red Cliff Band of Lake Superior Chippewa Indians

Doing business as Red Cliff Ambulance Service

  • Land Ambulance
  • Bayfield, WI
National Provider Identifier
1174672844
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Doing business as
Red Cliff Ambulance Service
Practice address
37435 STH 13
Bayfield, WI 54814
Phone
(715) 779-3733
Fax
(715) 779-3704
NPI assigned
Jan 10, 2007
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Diane Erickson
Title
Health Services Adminstrator
Phone
(715) 779-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WI Primary

Addresses

Primary practice location

37435 STH 13
Bayfield, WI 54814

Mailing address

36745 Aiken Rd
Bayfield, WI 54814-4579
Phone (715) 779-3707

Other identifiers 1

IdentifierTypeStateIssuer
41337000MedicaidWI

Other names 1

  • Red Cliff Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131212000609 WI Part B Supplier - Ambulance Service Supplier 4284537580 Practice locations: Bayfield, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Red Cliff Band of Ake Superior9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

36745 Aiken Rd
Bayfield, WI 54814
Phone (715) 779-3707

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1174672844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36745 AIKEN RD",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "548144579",
            "telephone_number": "715-779-3707",
            "fax_number": "715-779-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37435 STH 13",
            "city": "BAYFIELD",
            "state": "WI",
            "postal_code": "54814",
            "telephone_number": "715-779-3733",
            "fax_number": "715-779-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "HEALTH SERVICES ADMINSTRATOR",
        "authorized_official_telephone_number": "715-779-3707"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41337000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Cliff Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Red Cliff Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.