Active NPI
Waubeka Fire Department
- Land Ambulance
- Waubeka, WI
National Provider Identifier
1184730442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WAUBEKA FIRE DEPARTMENT
- Practice address
- W4114 River Rd
Waubeka, WI 53021-9712 - Phone
- (262) 692-2656
- NPI assigned
- Aug 21, 2006
- Last updated
- Apr 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Caswell
- Title
- Chief
- Phone
- (262) 692-2656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
W4114 River Rd
Waubeka, WI 53021-9712
Mailing address
W4114 River Rd
Waubeka, WI 53021-9712
Phone (262) 692-2656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070322000575 | WI | Part B Supplier - Ambulance Service Supplier | 8921102476 | Practice locations: Waubeka, WI |
National Provider Directory
National Provider DirectoryLocations
W4114 River Rd
Waubeka, WI 53021
Phone (262) 692-2656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1184730442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W4114 RIVER RD",
"city": "WAUBEKA",
"state": "WI",
"postal_code": "530219712",
"telephone_number": "262-692-2656",
"fax_number": "262-692-2061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4114 RIVER RD",
"city": "WAUBEKA",
"state": "WI",
"postal_code": "530219712",
"telephone_number": "262-692-2656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAUBEKA FIRE DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "CASWELL",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "262-692-2656"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waubeka, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.