Organization Active NPI

North Central Emergency Services, LLC

  • Ambulance
  • Racine, WI
National Provider Identifier
1497223069
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
NORTH CENTRAL EMERGENCY SERVICES, LLC
Doing business as
North Central EMS & Rescue Squad
North Central Emergency Medical Services & Rescue Squad
Practice address
3204 Washington Ave Rear
Racine, WI 53405-3037
Phone
(262) 729-9886
NPI assigned
Nov 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mr. Christopher Siebeneich, AEMT
Title
Chief/Owner
Phone
(262) 729-9886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3204 Washington Ave Rear
Racine, WI 53405-3037

Mailing address

PO Box 101
Delavan, WI 53115-0101

Other names 2

  • North Central EMS & Rescue Squad Doing business as
  • North Central Emergency Medical Services & Rescue Squad Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2156742North Central Emergency Medical Services3204 Washington Ave Rear, Racine, WI 53405Certificate of waiverOct 23, 2026

National Provider Directory

National Provider Directory

Locations

3204 Washington Ave
Rear
Racine, WI 53405
Phone (262) 729-9886

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1497223069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531150101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 WASHINGTON AVE REAR",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053037",
            "telephone_number": "262-729-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL EMERGENCY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SIEBENEICH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIEF/OWNER",
        "authorized_official_telephone_number": "262-729-9886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AEMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central EMS & Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Central Emergency Medical Services & Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.