Active NPI
City of Wauwatosa
- Land Ambulance
- Wauwatosa, WI
National Provider Identifier
1447367172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41312300 | Medicaid | WI |
Other names 1
- Wauwatosa Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Department
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Wauwatosa, WI
- NPI 1427184357
-
- Public Health or Welfare Agency
- Wauwatosa, WI
- NPI 1356516504
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.