NPIMap

Organization Active NPI

Abbotsford Volunteer Fire

  • Land Ambulance
  • Abbotsford, WI
National Provider Identifier
1356398267
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ABBOTSFORD VOLUNTEER FIRE
Doing business as
Abbotsford Ambulance Service
Practice address
203 E Birch
Abbotsford, WI 54405
Phone
(715) 223-3697
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Ray Esselman
Title
Chief
Phone
(715) 223-3697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

203 E Birch
Abbotsford, WI 54405

Mailing address

PO Box 117
Abbotsford, WI 54405-0117

Other identifiers 2

IdentifierTypeStateIssuer
41324200MedicaidWI
000080235OtherADVOCARE MCHMO

Other names 1

  • Abbotsford Ambulance Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1356398267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544050117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E BIRCH",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "54405",
            "telephone_number": "715-223-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBOTSFORD VOLUNTEER FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "ESSELMAN",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "715-223-3697"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41324200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000080235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbotsford Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abbotsford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.