Active NPI
City of Janesville
- Land Ambulance
- Janesville, WI
National Provider Identifier
1316005978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41322800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100329000394 | WI | Part B Supplier - Ambulance Service Supplier | 9830225952 | Practice locations: Janesville, WI |
National Provider Directory
National Provider DirectoryLocations
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.