NPIMap

Organization Active NPI

County of Richland

  • Ambulance
  • Richland Center, WI
National Provider Identifier
1568465490
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
00724 Issued in WI
Legal business name
COUNTY OF RICHLAND
Practice address
181 W Seminary St
Richland Center, WI 53581-2368
Phone
(608) 647-6474
Fax
(608) 647-7151
NPI assigned
May 24, 2005
Organization subpart
Yes
Parent organization
COUNTY OF RICHLANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Mrs. Jeanne Patrice Rice
Title
Secretary
Phone
(608) 647-6474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 00724 WI Primary

Addresses

Primary practice location

181 W Seminary St
Richland Center, WI 53581-2368

Mailing address

181 W Seminary St
Richland Center, WI 53581-2368
Phone (608) 647-6474

Other identifiers 1

IdentifierTypeStateIssuer
41342400MedicaidWI

Other names 1

  • Richland County Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000023 WI Part B Supplier - Ambulance Service Supplier 2264335355 Practice locations: Richland Center, WI

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
52D0980474Richland County Ambulance Service181 W Seminary St RM 125, Richland Center, WI 53581Certificate of waiverNov 20, 2026
52D2233906Richland County Jail181 W Seminary, Richland Center, WI 53581Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Richland County Health9 organizations share this tax ID, including this one
Part of
Richland County Health

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1027 N Jefferson St
Richland Ctr, WI 53581
Phone (608) 647-6474

181 W Seminary St
Richland Ctr, WI 53581
Phone (608) 647-6474

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine Valley Community VillageRichland Center, WI, CCN 525365 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Mar 9, 1978
Mar 9, 1978
Mar 9, 1978

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Richland
    • Skilled Nursing Facility
    • Richland Center, WI
    • NPI 1144229055

    5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1568465490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W SEMINARY ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812368",
            "telephone_number": "608-647-6474",
            "fax_number": "608-647-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W SEMINARY ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812368",
            "telephone_number": "608-647-6474",
            "fax_number": "608-647-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RICHLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF RICHLAND",
        "enumeration_date": "2005-05-24",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "608-647-6474",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "00724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41342400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richland County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richland Center, WI

Sources for this page

Verify at the official NPI Registry.