Manawa Rural Fire Dept

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MANAWA RURAL FIRE DEPT

Practice address

500 S Bridge St
Manawa, WI 54949-9533

Phone

(920) 596-2593

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lynn Bessette

Title

Secretary Treasurer

Phone

(920) 596-2593

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1386854420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S BRIDGE ST",
            "address_2": "PO BOX 953",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549499533",
            "telephone_number": "920-596-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S BRIDGE ST",
            "city": "MANAWA",
            "state": "WI",
            "postal_code": "549499533",
            "telephone_number": "920-596-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAWA RURAL FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BESSETTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "920-596-2593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41310500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda L. Beck, PTA
• Tina Bettin, NP
• Wendy Beyer, R.D.H.
• Briana Draeger
• Manawa Community Nursing Center Inc.
• Robert Kevin Reilly, DDS
• Valerie Schmude, MS, LPC
• School District of Manawa
• Sell Chiropractic
• Tranquil Sage Counseling LLC

• Ambulance in Manawa, WI
• Providers in Manawa, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.