Greenwood Area Ambulance Serv

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GREENWOOD AREA AMBULANCE SERV

Doing business as

Greenwood Fire & Ambulance Association

Practice address

103 Cannery St
Greenwood, WI 54437-9705

Phone

(715) 267-7390

NPI assigned

May 18, 2006

Last updated

Nov 23, 2012By 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

Diane Zagozen

Title

Director

Phone

(715) 267-7390

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Greenwood Fire & Ambulance Association Doing business as

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

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1306899794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W SCHOFIELD AVE",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544379473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CANNERY ST",
            "city": "GREENWOOD",
            "state": "WI",
            "postal_code": "544379705",
            "telephone_number": "715-267-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD AREA AMBULANCE SERV",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "ZAGOZEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-267-7390"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41352100",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41332500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000083928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMG",
            "identifier": "000083928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "2002697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Fire & Ambulance Association",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lena Marie Abrahamson, PT
• Scott A Brown, PA
• Maira Topacio Cifuentes, BT
• East Fountain Chiropractic LLC
• Kati Jean Ghess, DC
• Greenwood School District
• Gary J Janssen, MD
• Tiffany Luckey
• Marshfield Clinic, Inc. (Marshfield Clinic Greenwood Center)
• Eugene Dale Martin, D.C.

• Land Ambulance in Greenwood, WI
• Providers in Greenwood, 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 23, 2012; 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.