City of West Bend

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000064 Issued in WI

Legal business name

CITY OF WEST BEND

Doing business as

City of West Bend Fire Department

Practice address

325 N 8TH Ave
West Bend, WI 53095-3204

Phone

(262) 335-5054

Fax

(262) 335-5148

NPI assigned

Aug 21, 2006

Last updated

Mar 26, 2011By 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

Michelle L Scherff Sulik

Title

Vice President

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CITY OF WEST BEND FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301097600000",
    "number": "1184730327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N 8TH AVE",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953204",
            "telephone_number": "262-335-5054",
            "fax_number": "262-335-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WEST BEND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-03-26",
        "status": "A",
        "authorized_official_last_name": "SCHERFF SULIK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-375-9610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41329400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY OF WEST BEND FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryszard Cholewa, MD
• Meghan Lynn Christian, AGPCNP-BC
• Molly Christofferson, SAC-IT
• Elizabeth Christopher, ST
• Elizabeth Ann Cichanofsky
• Christopher Anthony Clairmont, DMD
• Connor Claus
• Mariah Clayton
• Coastal Waters Counseling Services
• Tracy Conklin, RN

• Land Ambulance in West Bend, WI
• Providers in West Bend, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.