City of Manitowoc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF MANITOWOC

Doing business as

Manitowoc Fire Department

Practice address

911 Franklin St
Manitowoc, WI 54220-4513

Phone

(920) 686-6967

Fax

(920) 686-6959

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

William P Manis II

Title

Fire Chief

Phone

(920) 686-6544

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Manitowoc Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1457332769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 QUAY ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204543",
            "telephone_number": "920-686-6544",
            "fax_number": "920-686-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 FRANKLIN ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204513",
            "telephone_number": "920-686-6967",
            "fax_number": "920-686-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MANITOWOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "MANIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "920-686-6544",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41337300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manitowoc Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michal Chiu, MD
• Jessica L Chouinard, PT
• Chris J. Hansen, DDS, SC
• Mary S Christensen, MSW
• Mary Cisler, PTA
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• Katie Clark
• Thomas John Cleereman, MSW, CAPSW
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• Amy Cochart, CCC-SLP

• Land Ambulance in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.