Active NPI
Lancaster EMS, Inc.
- Intermediate Emergency Medical Technician
- Lancaster, WI
National Provider Identifier
1316994569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 6000396
- 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, 2008
- 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
- Mr. Brian M Allen, EMT INTERMEDIATE TEC
- Title
- Chief
- Phone
- (608) 723-6331
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41341600 | 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 |
|---|---|---|---|---|
| O20080125000636 | WI | Part B Supplier - Ambulance Service Supplier | 2365524626 | Practice locations: Lancaster, WI |
National Provider Directory
National Provider DirectoryLocations
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
- Sheirlie Ann Lamantia, MD
- Lancaster Care Center LLC (Atrium Post Acute Careof Lancaster)
- Lancaster Chiropractic, LLC
- Lancaster Community School District
- Lancaster Dental Associates
- Lancaster Family Medical Center S.C. (Family Medical Center)
- Lancaster Pharmacy LLC (Lancaster Hometown Pharmacy)
- Misty Landon, LPN
- Nicole M Landon, R.N.
- Ashley Marie Lang, PTA
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.