City of Elkhorn

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000717 Issued in WI

Legal business name

CITY OF ELKHORN

Doing business as

Elkhorn Fire Department, EMS Division

Practice address

13 S Broad St
Elkhorn, WI 53121-1702

Phone

(262) 723-5080

NPI assigned

Jun 2, 2006

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF ELKHORNAs reported in NPPES

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

Authorized official

Name

David J Fladten, NREMT-P, CCEM

Title

EMS Chief

Phone

(262) 723-5080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elkhorn Fire Department, EMS Division Doing business as

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

Part of

City of Elkhorn

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1215974571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531210445",
            "telephone_number": "262-723-5080",
            "fax_number": "262-723-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 S BROAD ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211702",
            "telephone_number": "262-723-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ELKHORN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF ELKHORN",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "FLADTEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "262-723-5080",
        "authorized_official_credential": "NREMT-P, CCEM"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elkhorn Fire Department, EMS Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie A Chapman, MS
• Children's Hospital of Wisconsin
• Chiropractic Center of Elkhorn LLC
• Chiros in Motion
• Lee Joel Christensen
• Daniel J Clausen, RD, CD
• Joy Evon Clikeman, LMFT
• Community Living Arrangements, Inc.
• Bonnie L Connolly, LPC
• County of Walworth (Walworth County Department of Health and Human Services)

• Land Ambulance in Elkhorn, WI
• Providers in Elkhorn, 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 25, 2011; 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.