Tigerton Area Ambulance Service Association Inc
Organization Active NPI Land Ambulance · Tigerton, WI
NPI 1366197832 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1366197832
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 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
- Organization subpart
- No
Authorized official
- Name
- Christine D Richter, AEMT
- Title
- Service Director
- Phone
- (715) 535-2222
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220504002207 | WI | Part B Supplier - Ambulance Service Supplier | 6800283110 | Practice locations: Tigerton, WI |
National Provider Directory
Locations
780 N Beech St
Tigerton, WI 54486
Phone (715) 535-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
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
Other providers in Tigerton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. 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.