Organization Active NPI

City of Janesville

  • Land Ambulance
  • Janesville, WI
National Provider Identifier
1316005978
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF JANESVILLE
Practice address
18 N Jackson St
Janesville, WI 53548
Phone
(608) 755-3000
Fax
(608) 755-3196
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Lorena Rae Stottler
Title
Clerk-Treasurer
Phone
(608) 755-3072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

18 N Jackson St
Janesville, WI 53548

Mailing address

PO Box 457
Wheeling, IL 60090-0457
Phone (847) 577-8811

Other identifiers 1

IdentifierTypeStateIssuer
41322800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329000394 WI Part B Supplier - Ambulance Service Supplier 9830225952 Practice locations: Janesville, WI

National Provider Directory

National Provider Directory

Locations

1545 S Washington St
Janesville, WI 53546
Phone (608) 752-2718

18 N Jackson St
Janesville, WI 53548
Phone (608) 755-3000

1414 Newport Ave
Janesville, WI 53545
Phone (608) 752-5815

435 N Crosby Ave
Janesville, WI 53548
Phone (608) 752-7736

4117 E Milwaukee St
Janesville, WI 53546
Phone (608) 752-1660

303 Milton Ave
Janesville, WI 53545
Phone (608) 755-3050

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1316005978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "800-329-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N JACKSON ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53548",
            "telephone_number": "608-755-3000",
            "fax_number": "608-755-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JANESVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "STOTTLER",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "CLERK-TREASURER",
        "authorized_official_telephone_number": "608-755-3072"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41322800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.