Organization Active NPI

Village of Sussex

  • Land Ambulance
  • Sussex, WI
National Provider Identifier
1477650687
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF SUSSEX
Practice address
N63W24335 Main St
Sussex, WI 53089-3034
Phone
(262) 246-5197
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Ashton Bonville
Title
Lieutenant
Phone
(262) 246-5197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

N63W24335 Main St
Sussex, WI 53089-3034

Mailing address

N64W23760 Main St
Sussex, WI 53089-3120
Phone (262) 246-5197

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070223000589 WI Part B Supplier - Ambulance Service Supplier 3577665405 Practice locations: Sussex, WI

National Provider Directory

National Provider Directory

Locations

N63W24335 Main St
Sussex, WI 53089
Phone (262) 246-5197

N64W23760 Main St
Sussex, WI 53089
Phone (262) 246-5197

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1477650687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N64W23760 MAIN ST",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893120",
            "telephone_number": "262-246-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N63W24335 MAIN ST",
            "city": "SUSSEX",
            "state": "WI",
            "postal_code": "530893034",
            "telephone_number": "262-246-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SUSSEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "BONVILLE",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "262-246-5197"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.