Arena Fire Board
Organization Active NPI Land Ambulance · Arena, WI
NPI 1346463684 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346463684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ARENA FIRE BOARD
- Practice address
- 111 David Circle
Arena, WI 53503 - Phone
- (608) 753-2335
- Fax
- (608) 753-2335
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Karen Kim Wilkinson
- Title
- Fire Board Sec Treas
- Phone
- (608) 753-2335
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060321000203 | WI | Part B Supplier - Ambulance Service Supplier | 6103833819 | Practice locations: Arena, WI |
National Provider Directory
Locations
111 David Cir
Arena, WI 53503
Phone (608) 753-2335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
111 David Circle
Arena, WI 53503
Mailing address
PO Box 76
Arena, WI 53503
Phone (608) 753-2335
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41330800 | Medicaid | WI |
Other providers in Arena, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.