Advance Cable Company LLC

Primary specialty

Emergency Response System CompaniesTaxonomy code 333300000X

Legal business name

ADVANCE CABLE COMPANY LLC

Practice address

2113 Eagle Dr
Middleton, WI 53562-2551

Phone

(608) 831-1688

Fax

(608) 831-9801

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Larson

Title

Owner

Phone

(608) 831-1688

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1669640843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620033",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535620033",
            "telephone_number": "608-831-1688",
            "fax_number": "608-831-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 EAGLE DR",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622551",
            "telephone_number": "608-831-1688",
            "fax_number": "608-831-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE CABLE COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-831-1688"
    },
    "taxonomies": [
        {
            "code": "333300000X",
            "taxonomy_group": "",
            "desc": "Emergency Response System Companies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41568300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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