Town of Grand Chute

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF GRAND CHUTE

Practice address

2250 W Grand Chute Blvd
Grand Chute, WI 54913-7700

Phone

(920) 832-6050

Fax

(920) 832-1606

NPI assigned

Jun 28, 2024

Last updated

Sep 16, 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

Matthew Kasriel

Title

Assistant Fire Chief

Phone

(920) 832-6050

Specialties & licenses 1

Addresses

Other names 1

• Grand Chute Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1407691595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900547",
            "telephone_number": "734-224-4474",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 W GRAND CHUTE BLVD",
            "city": "GRAND CHUTE",
            "state": "WI",
            "postal_code": "549137700",
            "telephone_number": "920-832-6050",
            "fax_number": "920-832-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GRAND CHUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "KASRIEL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ASSISTANT FIRE CHIEF",
        "authorized_official_telephone_number": "920-832-6050"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Chute Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Abigail Schreiber, DPT
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• St Vincent Hospital-Hospital Sisters-Third Order of St Francis (Prevea Health)
• Hannah R Tumilty, MD
• Walgreen Co (Walgreens #10234)
• Tonya Janelle Wilderman, RPH
• Jacob Williams

• Land Ambulance in Grand Chute, WI
• Providers in Grand Chute, 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 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.