Prescott Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PRESCOTT EMERGENCY MEDICAL SERVICE

Practice address

1603 Pine St
Prescott, WI 54021-2015

Phone

(715) 262-3775

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Bill Dravis

Title

Director

Phone

(715) 262-3775

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Prescott Fire & EMS Association Doing business as

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194779637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 PINE ST",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540212015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 PINE ST",
            "city": "PRESCOTT",
            "state": "WI",
            "postal_code": "540212015",
            "telephone_number": "715-262-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAVIS",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-262-3775"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41360700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Fire & EMS Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.