Organization Active NPI

City of Wauwatosa

  • Land Ambulance
  • Wauwatosa, WI
National Provider Identifier
1447367172
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF WAUWATOSA
Practice address
1601 Underwood Ave
Wauwatosa, WI 53213-2634
Phone
(414) 471-8490
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Mr. John Ruggini
Title
Finance Director
Phone
(414) 479-8962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1601 Underwood Ave
Wauwatosa, WI 53213-2634

Mailing address

1601 Underwood Ave
Wauwatosa, WI 53213-2634
Phone (414) 471-8490

Other identifiers 1

IdentifierTypeStateIssuer
41312300MedicaidWI

Other names 1

  • Wauwatosa Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080417000297 WI Part B Supplier - Ambulance Service Supplier 6608975891 Practice locations: Wauwatosa, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of Wauwatosa Health Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1463 Underwood Ave
Wauwatosa, WI 53213
Phone (414) 471-8490

1601 Underwood Ave
Wauwatosa, WI 53213
Phone (414) 471-8490

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1447367172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 UNDERWOOD AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132634",
            "telephone_number": "414-471-8490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 UNDERWOOD AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132634",
            "telephone_number": "414-471-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WAUWATOSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "RUGGINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "414-479-8962",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41312300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wauwatosa Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wauwatosa Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauwatosa, WI

Sources for this page

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