NPIMap

Organization Active NPI

Old Washington Vol Fire Department

Doing business as Old Washington Fire Departmen

  • Land Ambulance
  • Cedarburg, WI
National Provider Identifier
1306980370
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
OLD WASHINGTON VOL FIRE DEPARTMENT
Doing business as
Old Washington Fire Departmen
Practice address
W62N244 Washington Ave
Cedarburg, WI 53012-2709
Phone
(262) 375-9610
Fax
(262) 375-9608
NPI assigned
Feb 16, 2007
Last updated
Oct 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mary Ann Sulik
Title
Manager
Phone
(262) 375-9610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

W62N244 Washington Ave
Cedarburg, WI 53012-2709

Mailing address

221 Beymer St
Old Washington, OH 43768
Phone (262) 375-9610

Other names 1

  • Old Washington Fire Departmen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Old Washington Community Volunteer Fire Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1306980370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BEYMER ST",
            "city": "OLD WASHINGTON",
            "state": "OH",
            "postal_code": "43768",
            "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": "W62N244 WASHINGTON AVE",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122709",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD WASHINGTON VOL FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "262-375-9610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Washington Fire Departmen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.