United Emergency Medical Response, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6604885 Issued in WI

Legal business name

UNITED EMERGENCY MEDICAL RESPONSE, LLC

Practice address

3530 Bohn Drive
Wisconsin Rapids, WI 54494-6971

Phone

(715) 459-3532

Fax

(715) 424-6989

NPI assigned

Dec 7, 2009

Last updated

Aug 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Johnson, PARAMEDIC

Title

Director of Ambulance Operations

Phone

(715) 459-3532

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1346578135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 BOHN DRIVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946971",
            "telephone_number": "715-459-3532",
            "fax_number": "715-424-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 BOHN DRIVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946971",
            "telephone_number": "715-459-3532",
            "fax_number": "715-424-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED EMERGENCY MEDICAL RESPONSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR OF AMBULANCE OPERATIONS",
        "authorized_official_telephone_number": "715-459-3532",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6604885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346578135",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Mary Tompkins, LPC-IT
• Total Renal Care Inc (Wisconsin Rapids Dialysis)
• Trans4M Physical Therapy & Fitness, LLC
• Christina Marie Tritz, COTA
• Christine L Uber, MD
• Michelle Van Ert
• Constance K Virnig, LPC
• Gerald M Voelker, D.D.S.
• Jessa Brynn Quick Voelker, ED.S.
• Thomas A Voelker, MD

• Land Ambulance in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.