Active NPI
Gold Cross Ambulance Service Inc
- Land Ambulance
- Menasha, WI
National Provider Identifier
1609868090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- GOLD CROSS AMBULANCE SERVICE INC
- Practice address
- 1055 Wittmann Dr
Menasha, WI 54952-3606 - Phone
- (920) 967-6064
- Fax
- (920) 727-3033
- NPI assigned
- Aug 22, 2005
- 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
- Mr. Nicholas Romenesko
- Title
- Executive Director
- Phone
- (920) 450-2923
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1055 Wittmann Dr
Menasha, WI 54952-3606
Mailing address
PO Box 547
Wheeling, IL 60090-0547
Phone (734) 224-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41349400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050517000542 | WI | Part B Supplier - Ambulance Service Supplier | 9335196138 | Practice locations: Menasha, WI |
National Provider Directory
National Provider DirectoryLocations
130 Calumet St
Brillion, WI 54110
Phone (920) 727-3020
1055 Wittmann Dr
Menasha, WI 54952
Phone (920) 727-3020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781136000000",
"number": "1609868090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900547",
"telephone_number": "734-224-4474",
"fax_number": "336-791-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 WITTMANN DR",
"city": "MENASHA",
"state": "WI",
"postal_code": "549523606",
"telephone_number": "920-967-6064",
"fax_number": "920-727-3033"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLD CROSS AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-22",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A",
"authorized_official_last_name": "ROMENESKO",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "920-450-2923",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41349400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.