Organization Active NPI

Grafton Volunteer Fire Department Inc

  • Land Ambulance
  • Grafton, WI
National Provider Identifier
1598712176
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GRAFTON VOLUNTEER FIRE DEPARTMENT INC
Practice address
1431 13TH Ave
Grafton, WI 53024-1939
Phone
(262) 377-6037
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
John A Place
Title
Chief
Phone
(262) 375-5314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1431 13TH Ave
Grafton, WI 53024-1939

Mailing address

1431 13TH Ave
Grafton, WI 53024-1939

Other identifiers 2

IdentifierTypeStateIssuer
41324700MedicaidWI
590010678OtherWIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1431 13th Ave
Grafton, WI 53024
Phone (262) 375-5314

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1598712176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 13TH AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530241939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 13TH AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530241939",
            "telephone_number": "262-377-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFTON VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "PLACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "262-375-5314"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41324700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010678",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.