Organization Active NPI

Village of Raymond

Doing business as Raymond Fire and Rescue

  • Land Ambulance
  • Franksville, WI
National Provider Identifier
1427005073
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 16, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41316700MedicaidWI
590007538OtherWIRAILROAD MEDICARE

Other names 1

  • Raymond Fire and Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000719 WI Part B Supplier - Ambulance Service Supplier 9830241520 Practice locations: Franksville, WI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.