Cazenovia Area World Fire

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CAZENOVIA AREA WORLD FIRE

Doing business as

Cazenovia FD Rescue Squad

Practice address

310 State Highway 58 North
Cazenovia, WI 53924-0183

Phone

(608) 983-2840

Fax

(608) 983-2019

NPI assigned

Mar 2, 2010

Last updated

Apr 28, 2014By 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

Mrs. Bonnie L Marshall

Title

Secretary-Bookeeper

Phone

(608) 983-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cazenovia FD Rescue Squad 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": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1669795811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539240183",
            "telephone_number": "608-983-2840",
            "fax_number": "608-983-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STATE HIGHWAY 58 NORTH",
            "city": "CAZENOVIA",
            "state": "WI",
            "postal_code": "539240183",
            "telephone_number": "608-983-2840",
            "fax_number": "608-983-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAZENOVIA AREA WORLD FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY-BOOKEEPER",
        "authorized_official_telephone_number": "16089832840",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cazenovia FD Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Asbel Enterprises, Inc. (Asbel Chiropractic Clinic)
• Tracy Lynn Brownlee, R.N.
• Cazenovia FD Rescue Squad (Cazendovia Ambulance)
• Cazenovia FD Rescue Squad
• Norma Coblentz
• Dionne J Corcoran, CPM LM
• Andrea Hill, C.O.T.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.