Chetek Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000571 Issued in WI

Legal business name

CHETEK AMBULANCE SERVICE

Practice address

1224 Railroad Ave
Chetek, WI 54728-0047

Phone

(715) 924-4211

Fax

(715) 924-4695

NPI assigned

May 23, 2007

Last updated

Sep 3, 2025By 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

Ryan Olson, AO

Title

Director

Phone

(715) 924-4211

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1396955860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547280047",
            "telephone_number": "715-924-4211",
            "fax_number": "715-924-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 RAILROAD AVE",
            "city": "CHETEK",
            "state": "WI",
            "postal_code": "547280047",
            "telephone_number": "715-924-4211",
            "fax_number": "715-924-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHETEK AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-924-4211",
        "authorized_official_credential": "AO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41355500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.