NPIMap

Organization Active NPI

City of Cuba City

Doing business as Cuba City Area Rescue Squad

  • Land Ambulance
  • Cuba City, WI
National Provider Identifier
1407801905
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF CUBA CITY
Doing business as
Cuba City Area Rescue Squad
Practice address
1013 South Main
Cuba City, WI 53807
Phone
(608) 744-8753
NPI assigned
May 23, 2006
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Marie Wiederholt
Title
President
Phone
(608) 744-8753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1013 South Main
Cuba City, WI 53807

Mailing address

1031 S Main St
Cuba City, WI 53807-1599

Other identifiers 5

IdentifierTypeStateIssuer
1026785OtherPHYSICIAN'S PLUS
000082231OtherADVOCARE MCHMO
WI0101OtherJOHN DEERE
099305OtherHEALTH ALLIANCE
41357600MedicaidWI

Other names 1

  • Cuba City Area Rescue Squad Doing business as

National Provider Directory

National Provider Directory

Locations

1013 S Main St
Cuba City, WI 53807
Phone (608) 744-8753

1031 S Main St
Cuba City, WI 53807

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1407801905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 S MAIN ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 SOUTH MAIN",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "53807",
            "telephone_number": "608-744-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CUBA CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "WIEDERHOLT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-744-8753"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1026785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000082231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "099305",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41357600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cuba City Area Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuba City, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.