Xtreme Care EMS, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

XTREME CARE EMS, LLC

Practice address

171 S Johnson St
Berlin, WI 54923-2214

Phone

(920) 296-8165

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By 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

Sue Pinkall

Title

Owner

Phone

(920) 296-8165

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235183930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W1662 NORTH ST",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S JOHNSON ST",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549232214",
            "telephone_number": "920-296-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME CARE EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINKALL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-296-8165"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41361000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Evon Weisnicht
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• Terry Lin Wepner, DC
• Claire Westlake, MS, CF-SLP
• Alexander Loy White, D.D.S.
• Karri Kathleen Youngbauer
• Kurt Alan Zemke, DDS

• Land Ambulance in Berlin, WI
• Providers in Berlin, 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.