City of Marshfield

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000285 Issued in WI

Legal business name

CITY OF MARSHFIELD

Doing business as

Marshfield Fire & Rescue

Practice address

514 East 4TH Street
Marshfield, WI 54449-4516

Phone

(715) 486-2094

Fax

(715) 384-8868

NPI assigned

Jul 29, 2005

Last updated

Oct 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Bakos

Title

Deputy Fire Chief-EMS

Phone

(715) 486-2093

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marshfield Fire & Rescue 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

Locations

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1225038359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 E 4TH ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494516",
            "telephone_number": "715-384-4600",
            "fax_number": "715-384-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 EAST 4TH STREET",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494516",
            "telephone_number": "715-486-2094",
            "fax_number": "715-384-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MARSHFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "BAKOS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF-EMS",
        "authorized_official_telephone_number": "715-486-2093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41324100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshfield Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshfield Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph T Chojnacki, PHD
• Conrad Victor Christensen, PSYCHOLOGIST
• Camryn Shelley Christopherson
• Wendy Chryst, ICSW
• Dominic S Chu, MD
• Emily A Ciula, DO
• Jennifer L Clements, NP
• David A Cleveland, MD
• Hayne M Clifton, CRNA
• Lawrence H Clouse, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.