Aquila Corporation

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

004000233253001 Issued in WI

Legal business name

AQUILA CORPORATION

Practice address

3827 Creekside LN
Holmen, WI 54636-9466

Phone

(608) 782-0031

Fax

(608) 782-0488

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Steven P Kohlman

Title

President

Phone

(608) 782-0031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1598825283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 CREEKSIDE LN",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369466",
            "telephone_number": "608-782-0031",
            "fax_number": "608-782-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 CREEKSIDE LN",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546369466",
            "telephone_number": "608-782-0031",
            "fax_number": "608-782-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUILA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "KOHLMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-782-0031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WI",
            "license": "004000233253001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Holmen, WI
• Providers in Holmen, WI by specialty
• Customized Equipment (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.