Waupaca Area Ambulance, LTD.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

6000288 Issued in WI

Legal business name

WAUPACA AREA AMBULANCE, LTD.

Practice address

500 County Road K
Waupaca, WI 54981-2300

Phone

(715) 258-8103

Fax

(715) 258-8879

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John P Porrey

Title

Director/Operations

Phone

(715) 258-8103

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295765907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 COUNTY ROAD K",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812300",
            "telephone_number": "715-258-8103",
            "fax_number": "715-258-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COUNTY ROAD K",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549812300",
            "telephone_number": "715-258-8103",
            "fax_number": "715-258-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUPACA AREA AMBULANCE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR/OPERATIONS",
        "authorized_official_telephone_number": "715-258-8103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "WI",
            "license": "6000288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41316100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paramedic in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Paramedic 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.