City of Wisconsin Rapids

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000044 Issued in WI

Legal business name

CITY OF WISCONSIN RAPIDS

Practice address

1511 12TH Street South
Wisconsin Rapids, WI 54494

Phone

(715) 423-1150

Fax

(715) 421-8280

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Joel Fetterer

Title

Division Chief of EMS

Phone

(715) 421-6275

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wisconsin Rapids Fire Dept Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1659313237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W GRAND AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952768",
            "telephone_number": "715-421-8242",
            "fax_number": "715-421-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 12TH STREET SOUTH",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "54494",
            "telephone_number": "715-423-1150",
            "fax_number": "715-421-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WISCONSIN RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "FETTERER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DIVISION CHIEF OF EMS",
        "authorized_official_telephone_number": "715-421-6275"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41305900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4305900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wisconsin Rapids Fire Dept Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wisconsin Rapids Fire Dept Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regis R Chamberlin, MD
• Margaret Charek, LAT, ATC
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• Elizabeth Chouinard
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• Benjamin Reed Clark, O.D.
• Jennifer Marie Clark, COTA
• Wendy Clary
• Richard W Clasen, M.D.
• Penny Rae Cleworth, RN

• Land Ambulance in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.

Verify at the official NPI Registry.