City of Antigo

Primary specialty

AmbulanceTaxonomy code 341600000X

License

60-01340 Issued in WI

Legal business name

CITY OF ANTIGO

Practice address

700 Edison St
Antigo, WI 54409-1955

Phone

(715) 623-3633

Fax

(715) 627-4761

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda J Vollmar

Title

Billing Secretary

Phone

(715) 623-3633

Specialties & licenses 1

Addresses

Other identifiers 2

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

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1407899677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EDISON ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091955",
            "telephone_number": "715-623-3633",
            "fax_number": "715-627-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 EDISON ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091955",
            "telephone_number": "715-623-3633",
            "fax_number": "715-627-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ANTIGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "VOLLMAR",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SECRETARY",
        "authorized_official_telephone_number": "715-623-3633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "60-01340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4135130",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007241",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.