Town of Delavan

Primary specialty

AmbulanceTaxonomy code 341600000X

License

6000934 Issued in WI

Legal business name

TOWN OF DELAVAN

Practice address

5698 Town Hall Rd
Delavan, WI 53115-3712

Phone

(262) 728-3780

Fax

(262) 728-4022

NPI assigned

Oct 14, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Colleen M Endisch

Title

Town Clerk

Phone

(262) 728-3471

Specialties & licenses 1

Addresses

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": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285724690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 TOWN HALL RD",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531153712",
            "telephone_number": "262-728-2471",
            "fax_number": "262-728-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5698 TOWN HALL RD",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531153712",
            "telephone_number": "262-728-3780",
            "fax_number": "262-728-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DELAVAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENDISCH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TOWN CLERK",
        "authorized_official_telephone_number": "262-728-3471",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6000934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana R Strunz, PTA
• Kami Marie Studer, MS/CCC-SLP
• Nicole Lynn Swigart, OD
• Emily Scheff Taibl
• Timothy J Rasmussen LLC
• Jamison Clyde David Utzig, MD
• Alani Villegas
• Manuel L Vivero, MD
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Ambulance in Delavan, WI
• Providers in Delavan, WI by specialty
• 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.
• 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.