Organization Active NPI

City of St Francis

Doing business as St Francis Fire Department

  • Land Ambulance
  • St Francis, WI
National Provider Identifier
1386750776
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF ST FRANCIS
Doing business as
St Francis Fire Department
Practice address
3400 E Howard Ave
St Francis, WI 53235-4732
Phone
(414) 483-4424
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Nicholas Poplar
Title
Fire Chief
Phone
(414) 483-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3400 E Howard Ave
St Francis, WI 53235-4732

Mailing address

4235 S Nicholson Ave
Saint Francis, WI 53235-5839
Phone (414) 483-4424

Other identifiers 1

IdentifierTypeStateIssuer
41358800MedicaidWI

Other names 1

  • ST FRANCIS FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090416000298 WI Part B Supplier - Ambulance Service Supplier 2961559596 1 other NPI on this enrollment
Practice locations: St Francis, WI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1386750776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 S NICHOLSON AVE",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355839",
            "telephone_number": "414-483-4424",
            "fax_number": "414-483-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E HOWARD AVE",
            "city": "ST FRANCIS",
            "state": "WI",
            "postal_code": "532354732",
            "telephone_number": "414-483-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ST FRANCIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "POPLAR",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "414-483-4424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41358800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST FRANCIS FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Francis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.