County of Florence

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF FLORENCE

Practice address

747 Lake Avenue
Florence, WI 54121

Phone

(414) 296-1059

NPI assigned

Jan 20, 2023

Last updated

Jan 20, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

COUNTY OF FLORENCEAs reported in NPPES

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

Authorized official

Name

Amanda R Mulvey, RN, EMT

Title

EMS Director

Phone

(414) 296-1059

Specialties & licenses 1

Addresses

Other names 1

• Florence County EMS Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Florence

  • Public Health or Welfare Agency
  • Florence, WI
  • NPI 1538353198

  3173523800

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

County of Florence2 organizations share this tax ID, including this one

Part of

County of Florence

Other organizations with this tax ID 1

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

• County of Florence

  • Public Health or Welfare Agency
  • Florence, WI
  • NPI 1538353198
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• County of Florence

  dba Florence County Rescue Squad

  • Land Ambulance
  • Florence, WI
  • NPI 1093760548
  NPPES parent name

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1194430447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "541210410",
            "telephone_number": "414-296-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 LAKE AVENUE",
            "city": "FLORENCE",
            "state": "WI",
            "postal_code": "54121",
            "telephone_number": "414-296-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FLORENCE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF FLORENCE",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "MULVEY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "414-296-1059",
        "authorized_official_credential": "RN, EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florence County EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Irene Broy
• Shelly Rae Buch, FNP
• Meghan Nicole Marie Bundy
• Kristen Busby
• County of Florence (Florence County Rescue Squad)
• County of Florence
• Dickinson County Healthcare System (MMC - Dickinson Pharmacy Florence (Retail))
• Dickinson County Healthcare System (Marshfield Medical Center - Dickinson Florence Center (RHC))
• Dickinson County Healthcare System (Marshfield Medical Center - Dickinson Florence Rehab Center)
• Lesley S Dishaw, PAC

• Land Ambulance in Florence, WI
• Providers in Florence, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.