Active NPI
City of Juneau Emergency Medical Services
- Land Ambulance
- Juneau, WI
National Provider Identifier
1508947086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6001074
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41322400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040128000408 | WI | Part B Supplier - Ambulance Service Supplier | 9436052594 | Practice locations: Juneau, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0983651 | Juneau Emergency Medical Services | Certificate of waiver | Feb 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.