Town of Beloit

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF BELOIT

Doing business as

TOWN OF BELOIT FIRE DEPARTMENT

Practice address

2445 S Afton Rd
Beloit, WI 53511-8663

Phone

(608) 364-2980

Fax

(608) 364-2999

NPI assigned

Aug 19, 2006

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 1

Other names 1

• TOWN OF BELOIT FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1548374069",
    "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": "2445 S AFTON RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535118663",
            "telephone_number": "608-364-2980",
            "fax_number": "608-364-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BELOIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-02-08",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41357400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN OF BELOIT FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Michael Tillman Jr., DC
• TMF Group Corp
• Annabelle A. Tolentino, MD.
• Taylor Jordan Tomczak, CD
• Kevin M Tomera, M.D.
• Town of Turtle
• Tracy M Towne, APNP
• Alice M Townshend, MD
• Rachel N Tracy, P.T..
• Alyssa Tranchita, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.