City of Hartford Treasurer
Organization Active NPI Land Ambulance · Hartford, WI
NPI 1376527358 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1376527358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 60-1111 (WI)
- Legal business name
- CITY OF HARTFORD TREASURER
- Practice address
- 109 N Main St
Hartford, WI 53027-1521 - Phone
- (262) 673-8207
- Fax
- (262) 673-8301
- NPI assigned
- Dec 2, 2005
- Organization subpart
- No
Authorized official
- Name
- Anthony Burgard
- Title
- Fire Chief
- Phone
- (262) 673-8293
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070105000190 | WI | Part B Supplier - Ambulance Service Supplier | 5597765131 | Practice locations: Hartford, WI |
National Provider Directory
Locations
111 W Wisconsin St
Hartford, WI 53027
Phone (262) 673-8290
109 N Main St
Hartford, WI 53027
Phone (262) 673-8207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 60-1111 | WI | Yes |
Addresses
Primary practice location
109 N Main St
Hartford, WI 53027-1521
Mailing address
109 N Main St
Hartford, WI 53027-1582
Phone (262) 673-8207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590012539 | Other | WI | RAILROAD MEDICARE |
| 41337600 | Medicaid | WI |
Other names
- Hartford Emergency Squad
Other providers in Hartford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. 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.