Owen-Withee Curtiss Fire & EMS District
Organization Active NPI Land Ambulance · Owen, WI
NPI 1477082204 · NPPES record last updated Jul 24, 2017
Key facts
- NPI
- 1477082204
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- OWEN-WITHEE CURTISS FIRE & EMS DISTRICT
- Practice address
- 427 E 3Rd St
Owen, WI 54460-9746 - Phone
- (715) 229-2652
- NPI assigned
- Jun 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Grace Dale
- Title
- Secretary
- Phone
- (715) 229-2652
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0994402 | Owen-Withee-Curtiss Fire & EMS District Commission | Certificate of waiver | Dec 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170901001333 | WI | Part B Supplier - Ambulance Service Supplier | 4981977576 | Practice locations: Owen, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
427 E 3Rd St
Owen, WI 54460-9746
Mailing address
427 E 3Rd St
Owen, WI 54460-9746
Other names
- Owen-Withee Curtiss EMS District
Other providers in Owen, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.