City of Burlington

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF BURLINGTON

Practice address

165 W Washington St
Burlington, WI 53105-1445

Phone

(262) 763-7842

Fax

(262) 767-8602

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Steven J Dequaker

Title

Finance Director Treasurer

Phone

(262) 342-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1205482247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PINE ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051435",
            "telephone_number": "262-342-1170",
            "fax_number": "262-767-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W WASHINGTON ST",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051445",
            "telephone_number": "262-763-7842",
            "fax_number": "262-767-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Pine St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WI",
            "postal_code": "531051435",
            "country_code": "US",
            "telephone_number": "262-342-1170",
            "fax_number": "262-767-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF BURLINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "DEQUAKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCE DIRECTOR TREASURER",
        "authorized_official_telephone_number": "262-342-1170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE PROVIDER NUMBER",
            "identifier": "6604945",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdalby@burlington-wi.gov",
            "affiliation": "N",
            "endpointDescription": "Privacy Officer Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "165 W Washington St",
            "city": "Burlington",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531051445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darren Robert Chesner
• Tanya Chiapusio, RN
• Mark S Christman, APNP
• Hubert John Yu Sam Chua, DPT
• Stephanie Diane Chucka
• William John Clark, R. PH.
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• Rose A Comaroto, L.P.N
• Community Birth Group
• Connected Healing LLC

• All providers in Burlington, WI
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.