Organization Active NPI

Tigerton Area Ambulance Service Association Inc

  • Land Ambulance
  • Tigerton, WI
National Provider Identifier
1366197832
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TIGERTON AREA AMBULANCE SERVICE ASSOCIATION INC
Practice address
780 N Beech St
Tigerton, WI 54486-9614
Phone
(715) 535-2222
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Christine D Richter, AEMT
Title
Service Director
Phone
(715) 535-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

780 N Beech St
Tigerton, WI 54486-9614

Mailing address

PO Box 8
Tigerton, WI 54486-0008
Phone (715) 535-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220504002207 WI Part B Supplier - Ambulance Service Supplier 6800283110 Practice locations: Tigerton, WI

National Provider Directory

National Provider Directory

Locations

780 N Beech St
Tigerton, WI 54486
Phone (715) 535-2222

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1366197832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "TIGERTON",
            "state": "WI",
            "postal_code": "544860008",
            "telephone_number": "715-535-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N BEECH ST",
            "city": "TIGERTON",
            "state": "WI",
            "postal_code": "544869614",
            "telephone_number": "715-535-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIGERTON AREA AMBULANCE SERVICE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "715-535-2222",
        "authorized_official_credential": "AEMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigerton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.