Townships of Doty Riverview Mountain Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWNSHIPS OF DOTY RIVERVIEW MOUNTAIN AMBULANCE SERVICE

Doing business as

Mountain Ambulance Service

Practice address

14336 Highway 32/64
Mountain, WI 54149

Phone

(715) 276-6669

NPI assigned

May 23, 2006

Last updated

Jul 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Schultz

Title

Administrator

Phone

(715) 276-6669

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Mountain Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1396790770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "MOUNTAIN",
            "state": "WI",
            "postal_code": "541490085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14336 HIGHWAY 32/64",
            "city": "MOUNTAIN",
            "state": "WI",
            "postal_code": "54149",
            "telephone_number": "715-276-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIPS OF DOTY RIVERVIEW MOUNTAIN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "715-276-6669"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000088392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "1950",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41341600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CMH Primary Care Clinic Moutain-Physician Dispensary (CMH Primary Care Clinic-Mountain)
• Community Memorial Hospital
• Douglas C Gremban, MD
• St Clare Memorial Hospital, Inc (St Clare Memorial Hospital Mountain Health Center)
• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (St. Vincent Hospital - Libertas of Mountain)
• Mikaela Gloria Vollmar, PA-C

• Land Ambulance in Mountain, WI
• Providers in Mountain, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.