NPIMap

Organization Active NPI

Sullivan-Prestige Ambulance, Inc

  • Ambulance
  • Helenville, WI
National Provider Identifier
1245594522
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
APPLIED FOR Issued in WI
Legal business name
SULLIVAN-PRESTIGE AMBULANCE, INC
Practice address
N5214 N Helenville Rd
Helenville, WI 53137-9704
Phone
(920) 220-1019
NPI assigned
Jul 1, 2012
Last updated
Jul 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Authorized official

Name
Mrs. Kimberly Kay Heine
Title
President
Phone
(920) 220-1019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X APPLIED FOR WI Primary

Addresses

Primary practice location

N5214 N Helenville Rd
Helenville, WI 53137-9704

Mailing address

N5214 N Helenville Rd
Helenville, WI 53137-9704
Phone (920) 220-1019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341100800000",
    "number": "1245594522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5214 N HELENVILLE RD",
            "city": "HELENVILLE",
            "state": "WI",
            "postal_code": "531379704",
            "telephone_number": "920-220-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N5214 N HELENVILLE RD",
            "city": "HELENVILLE",
            "state": "WI",
            "postal_code": "531379704",
            "telephone_number": "920-220-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN-PRESTIGE AMBULANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-220-1019",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helenville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; 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.