Active NPI
Village of Sharon
Doing business as Sharon Fire & Rescue
- Land Ambulance
- Sharon, WI
National Provider Identifier
1609828953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF SHARON
- Doing business as
- Sharon Fire & Rescue
- Practice address
- 182 Park St
Sharon, WI 53585-9793 - Phone
- (262) 736-4543
- NPI assigned
- May 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Ruosch
- Title
- Chief
- Phone
- (262) 736-4543
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
182 Park St
Sharon, WI 53585-9793
Mailing address
PO Box 522
Sharon, WI 53585-0522
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI0101 | Other | JOHN DEERE | |
| 41357100 | Medicaid | WI |
Other names 1
- Sharon Fire & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040818000230 | WI | Part B Supplier - Ambulance Service Supplier | 5294708111 | Practice locations: Sharon, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0982942 | Village of Sharon EMS | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609828953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 522",
"city": "SHARON",
"state": "WI",
"postal_code": "535850522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "182 PARK ST",
"city": "SHARON",
"state": "WI",
"postal_code": "535859793",
"telephone_number": "262-736-4543"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SHARON",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUOSCH",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "262-736-4543"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "WI0101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41357100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sharon Fire & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sharon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.