Village of Greendale

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF GREENDALE

Doing business as

Greendale Fire Department

Practice address

6500 Northway
Greendale, WI 53129-1815

Phone

(414) 423-2100

Fax

(414) 423-2107

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Kristen Victory

Title

Treasurer

Phone

(414) 423-2100

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Greendale Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1326149964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 NORTHWAY",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291815",
            "telephone_number": "414-423-2100",
            "fax_number": "414-423-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NORTHWAY",
            "city": "GREENDALE",
            "state": "WI",
            "postal_code": "531291815",
            "telephone_number": "414-423-2100",
            "fax_number": "414-423-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF GREENDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "VICTORY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "414-423-2100"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41308000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greendale Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greendale Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Usv Optical Inc
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• Visiting Medical Associates
• James P Wagner, OD
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5668)

• Ambulance in Greendale, WI
• Providers in Greendale, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.