Shiocton-Bovina Fire Department

Primary specialty

AmbulanceTaxonomy code 341600000X

License

60-00894 Issued in WI

Legal business name

SHIOCTON-BOVINA FIRE DEPARTMENT

Practice address

W7746 Pine Street
Shiocton, WI 54170

Phone

(920) 986-3232

Fax

(920) 986-3743

NPI assigned

May 16, 2007

Last updated

Sep 20, 2011By 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

Tammy J Free

Title

Bookkeeper

Phone

(920) 986-3232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1568679934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "541700238",
            "telephone_number": "920-986-3232",
            "fax_number": "920-986-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W7746 PINE STREET",
            "city": "SHIOCTON",
            "state": "WI",
            "postal_code": "54170",
            "telephone_number": "920-986-3232",
            "fax_number": "920-986-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIOCTON-BOVINA FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "FREE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "920-986-3232"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "60-00894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41322100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rice
• School District of Shiocton
• Kristeen Schreiber, MAC,NCC
• Courtney Seitz, MA, LPC-IT
• Amy Michelle Shauger, LPN
• Janice Spangler, MA
• Sandee Spaulding Cornell
• Caitlyn Quinn Tielens, LPC
• Christina Van Eyck, PTA
• Jennifer M Vander Wielen, LPCT

• Ambulance in Shiocton, WI
• Providers in Shiocton, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.