Luxemburg Emergency and Rescue Service Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LUXEMBURG EMERGENCY AND RESCUE SERVICE ASSOCIATION

Doing business as

Luxemburg Emergency Service and Rescue Service Luxemburg Rescue Squad

Practice address

331 Willow St
Luxemburg, WI 54217-0000

Phone

(920) 845-5621

Fax

(920) 845-5625

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Michelle L Scherff Sulik

Title

Billing Manager

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Luxemburg Emergency Service and Rescue Service Luxemburg Rescue Squad Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1235273293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 WILLOW ST",
            "city": "LUXEMBURG",
            "state": "WI",
            "postal_code": "542170000",
            "telephone_number": "920-845-5621",
            "fax_number": "920-845-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXEMBURG EMERGENCY AND RESCUE SERVICE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "SCHERFF SULIK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "262-375-9610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41309300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luxemburg Emergency Service and Rescue Service Luxemburg Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance Willard Kirchman, D.C.
• Eric John Lecloux, PHARM D.
• Sally Jo Ledvina, APNP
• Katherine Ludolph
• Luxemburg Casco School District
• Luxemburg Family Chiropractic, SC
• Luxemburg Pharmacy, LLC
• Luxemburg Pharmacy, LLC
• Sadie Lynn Mleziva, MS CCC SLP
• Kaylee T Ninnemann, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.