Organization Active NPI

Lancaster EMS, Inc.

  • Intermediate Emergency Medical Technician
  • Lancaster, WI
National Provider Identifier
1316994569
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
6000396 Issued in WI
Legal business name
LANCASTER EMS, INC.
Practice address
312 North Washington Street
Lancaster, WI 58813-0293
Phone
(608) 723-6331
Fax
(608) 723-7560
NPI assigned
May 30, 2006
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mr. Brian M Allen, EMT INTERMEDIATE TEC
Title
Chief
Phone
(608) 723-6331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intermediate Emergency Medical Technician 146M00000X 6000396 WI Primary
Basic Emergency Medical Technician 146N00000X 10000396 WI

Addresses

Primary practice location

312 North Washington Street
Lancaster, WI 58813-0293

Mailing address

2715 West Frank Street
Eau Claire, WI 54703

Other identifiers 1

IdentifierTypeStateIssuer
41341600MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000636 WI Part B Supplier - Ambulance Service Supplier 2365524626 Practice locations: Lancaster, WI

National Provider Directory

National Provider Directory

Locations

312 N Washington St
Lancaster, WI 53813
Phone (608) 723-6331

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1316994569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WEST FRANK STREET",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54703",
            "fax_number": "715-834-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 NORTH WASHINGTON STREET",
            "city": "LANCASTER",
            "state": "WI",
            "postal_code": "588130293",
            "telephone_number": "608-723-6331",
            "fax_number": "608-723-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "608-723-6331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT INTERMEDIATE TEC"
    },
    "taxonomies": [
        {
            "code": "146M00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Intermediate",
            "state": "WI",
            "license": "6000396",
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WI",
            "license": "10000396",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.