Organization Active NPI

City of Kiel Office of Administrator

  • Land Ambulance
  • Kiel, WI
National Provider Identifier
1407928989
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
60-0075 Issued in WI
Legal business name
CITY OF KIEL OFFICE OF ADMINISTRATOR
Practice address
99 East Fremont St
Kiel, WI 53042
Phone
(920) 894-2909
NPI assigned
Nov 14, 2006
Last updated
Oct 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Authorized official

Name
Richard Isely
Title
Director, Kiel Ambulance Service
Phone
(920) 286-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 60-0075 WI Primary

Addresses

Primary practice location

99 East Fremont St
Kiel, WI 53042

Mailing address

PO Box 98
Kiel, WI 53042-0098
Phone (270) 727-0450

Other identifiers 1

IdentifierTypeStateIssuer
41343900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120423000435 WI Part B Supplier - Ambulance Service Supplier 6204097074 Practice locations: Kiel, WI

National Provider Directory

National Provider Directory

Locations

621 6th St
Kiel, WI 53042
Phone (920) 894-2909

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1407928989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "530420098",
            "telephone_number": "270-727-0450",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EAST FREMONT ST",
            "city": "KIEL",
            "state": "WI",
            "postal_code": "53042",
            "telephone_number": "920-894-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KIEL OFFICE OF ADMINISTRATOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "ISELY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR, KIEL AMBULANCE SERVICE",
        "authorized_official_telephone_number": "920-286-0414"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "60-0075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41343900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kiel, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.