City of Oconomowoc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

6001152 Issued in WI

Legal business name

CITY OF OCONOMOWOC

Practice address

212 S Concord Rd
Oconomowoc, WI 53066-3503

Phone

(262) 569-3223

Fax

(262) 569-3297

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Glenn R Leidel

Title

Deputy Fire Chief

Phone

(262) 569-3223

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oconomowoc Fire Department Other name

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1194777359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S CONCORD RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663503",
            "telephone_number": "262-569-3223",
            "fax_number": "262-569-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S CONCORD RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663503",
            "telephone_number": "262-569-3223",
            "fax_number": "262-569-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OCONOMOWOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "LEIDEL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "262-569-3223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6001152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41306800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR CARE",
            "identifier": "791590219",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oconomowoc Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chiropractic Company - Oconomowoc LTD (Chiropractic Company)
• Kayla Christiaansen, PT
• Christine Wings LLC
• Zachary Chudy, DC
• Caroline Cipriano Hanneman
• Dan Thomas Cleary, MD
• Kristin Clevenstine, OTR
• Clifford J. Opatken, M.D., S.C.
• Patricia Glatzel Clough, MS, ATR, LPC
• Coachflow Medical Corporation

• Ambulance in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.