County of Florence
Organization Active NPI Land Ambulance · Florence, WI
NPI 1194430447 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1194430447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- COUNTY OF FLORENCE
- Practice address
- 747 Lake Avenue
Florence, WI 54121 - Phone
- (414) 296-1059
- NPI assigned
- Jan 20, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF FLORENCE
Authorized official
- Name
- Amanda R Mulvey, RN, EMT
- Title
- EMS Director
- Phone
- (414) 296-1059
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2275758 | Florence County EMS | Certificate of waiver | Jan 26, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240319001191 | WI | Part B Supplier - Ambulance Service Supplier | 3173523800 | Practice locations: Florence, WI; Niagara, WI; Tipler, WI; Fence, WI |
National Provider Directory
- Tax ID family
- County of Florence
- Part of
- County of Florence
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
747 Lake Avenue
Florence, WI 54121
Mailing address
PO Box 410
Florence, WI 54121-0410
Phone (414) 296-1059
Other names
- Florence County EMS
Other providers in Florence, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.