City of Waterloo

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WATERLOO

Doing business as

Waterloo Fire Department

Practice address

900 Industrial LN
Waterloo, WI 53594-1285

Phone

(920) 478-2535

Fax

(920) 478-9597

NPI assigned

Aug 25, 2006

Last updated

Dec 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle L Scherff Sulik

Title

Vice President

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WATERLOO FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1538276266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INDUSTRIAL LN",
            "city": "WATERLOO",
            "state": "WI",
            "postal_code": "535941285",
            "telephone_number": "920-478-2535",
            "fax_number": "920-478-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERLOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "SCHERFF SULIK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-375-9610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "552613",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41355800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WATERLOO FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilie Benisch
• Sarah Borchert, RN
• Tasha Bynum, CNC, IHP, LMT
• Rebecca L Christian, LPN
• City of Waterloo (Waterloo Fire Department)
• Dean Health Systems, Inc. (SSM Health Dean Medical Group - Waterloo)
• DRS Anderson & Arena
• Floxy Abilitynest LLC
• Cassandra Hartwig, NP
• Karen Lynette Jiles

• Land Ambulance in Waterloo, WI
• Providers in Waterloo, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.