Active NPI
Village of Raymond
Doing business as Raymond Fire and Rescue
- Land Ambulance
- Franksville, WI
National Provider Identifier
1427005073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF RAYMOND
- Doing business as
- Raymond Fire and Rescue
- Practice address
- 2255 76TH St
Franksville, WI 53126-9539 - Phone
- (262) 835-1687
- Fax
- (262) 835-1694
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adam Smith
- Title
- Fire Chief
- Phone
- (262) 835-1687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2255 76TH St
Franksville, WI 53126-9539
Mailing address
2255 76TH St
Franksville, WI 53126-9539
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41316700 | Medicaid | WI | |
| 590007538 | Other | WI | RAILROAD MEDICARE |
Other names 1
- Raymond Fire and Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090709000719 | WI | Part B Supplier - Ambulance Service Supplier | 9830241520 | Practice locations: Franksville, WI |
National Provider Directory
National Provider DirectoryLocations
2255 76th St
Franksville, WI 53126
Phone (262) 835-1687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1427005073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 76TH ST",
"city": "FRANKSVILLE",
"state": "WI",
"postal_code": "531269539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 76TH ST",
"city": "FRANKSVILLE",
"state": "WI",
"postal_code": "531269539",
"telephone_number": "262-835-1687",
"fax_number": "262-835-1694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF RAYMOND",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "262-835-1687"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41316700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590007538",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Raymond Fire and Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franksville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.