Organization Active NPI

City of Juneau Emergency Medical Services

  • Land Ambulance
  • Juneau, WI
National Provider Identifier
1508947086
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001074 Issued in WI
Legal business name
CITY OF JUNEAU EMERGENCY MEDICAL SERVICES
Practice address
128 E Cross St
Juneau, WI 53039
Phone
(920) 386-4810
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Daniel Zank
Title
Director
Phone
(920) 210-1023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6001074 WI Primary

Addresses

Primary practice location

128 E Cross St
Juneau, WI 53039

Mailing address

128 Cross St
Juneau, WI 53039-1246
Phone (920) 386-4813

Other identifiers 1

IdentifierTypeStateIssuer
41322400MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000408 WI Part B Supplier - Ambulance Service Supplier 9436052594 Practice locations: Juneau, WI

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
52D0983651Juneau Emergency Medical Services128 E Cross St, Juneau, WI 53039Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Locations

128 Cross St
Juneau, WI 53039
Phone (920) 386-4810

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1508947086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CROSS ST",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391246",
            "telephone_number": "920-386-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E CROSS ST",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "53039",
            "telephone_number": "920-386-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF JUNEAU EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "ZANK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-210-1023"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41322400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.