Organization Active NPI

City of Hudson

  • Land Ambulance
  • Hudson, WI
National Provider Identifier
1366493215
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF HUDSON
Practice address
505 3Rd St
Hudson, WI 54016-1603
Phone
(715) 386-4777
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Eric Christensen
Title
Director
Phone
(715) 386-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

505 3Rd St
Hudson, WI 54016-1603

Mailing address

505 3Rd St
Hudson, WI 54016-1603

Other identifiers 9

IdentifierTypeStateIssuer
0714881MedicaidIA
WI0100OtherJOHN DEERE
1012558OtherPHYSICIAN'S PLUS
41341900OtherHIRSP
41341900MedicaidWI
601746300OtherWORKER'S COMP
8180016OtherMEDICA MAHMO
000088478OtherADVOCARE MCHMO
623567100MedicaidMN

Other names 1

  • City of Hudson - St. Croix EMS Doing business as

National Provider Directory

National Provider Directory

Locations

222 Walnut St
Hudson, WI 54016
Phone (715) 386-4777

505 3rd St
Hudson, WI 54016
Phone (715) 386-4777

9401 W Brown Deer Rd
Milwaukee, WI 53224
Phone (414) 365-8900

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1366493215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 3RD ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 3RD ST",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161603",
            "telephone_number": "715-386-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-386-4777"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714881",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1012558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41341900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "601746300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MAHMO",
            "identifier": "8180016",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000088478",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623567100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Hudson - St. Croix EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.