Active NPI
Deforest Windsor Fire & EMS District Board
Doing business as DeForest Windsor Fire & EMS
- Land Ambulance
- Deforest, WI
National Provider Identifier
1679526594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- DEFOREST WINDSOR FIRE & EMS DISTRICT BOARD
- Doing business as
- DeForest Windsor Fire & EMS
- Practice address
- 110 S Stevenson St
Deforest, WI 53532-1513 - Phone
- (608) 846-4364
- NPI assigned
- May 19, 2006
- Last updated
- Aug 15, 2024
- 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
- Steve Lafeber
- Title
- Chief
- Phone
- (608) 846-4364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
110 S Stevenson St
Deforest, WI 53532-1513
Mailing address
PO Box 547
Wheeling, IL 60090-0547
Phone (877) 200-1191
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WI0101 | Other | JOHN DEERE | |
| 41323200 | Other | WI | WI RENAL PROGRAM |
| 204563300 | Other | WORKER'S COMPENSATION | |
| 41323200 | Medicaid | WI | |
| 000082027 | Other | ADVOCARE MCHMO | |
| 1012174 | Other | PHYSICIAN'S PLUS | |
| 41323200 | Other | WI | HIRSP |
Other names 1
- DeForest Windsor Fire & EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000376 | WI | Part B Supplier - Ambulance Service Supplier | 9436050697 | Practice locations: Deforest, WI |
National Provider Directory
National Provider DirectoryLocations
110 S Stevenson St
Deforest, WI 53532
Phone (608) 846-4364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1679526594",
"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": "877-200-1191",
"fax_number": "336-740-9793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S STEVENSON ST",
"city": "DEFOREST",
"state": "WI",
"postal_code": "535321513",
"telephone_number": "608-846-4364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFOREST WINDSOR FIRE & EMS DISTRICT BOARD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A",
"authorized_official_last_name": "LAFEBER",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "608-846-4364"
},
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "WI RENAL PROGRAM",
"identifier": "41323200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMPENSATION",
"identifier": "204563300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41323200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCARE MCHMO",
"identifier": "000082027",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S PLUS",
"identifier": "1012174",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIRSP",
"identifier": "41323200",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DeForest Windsor Fire & EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Deforest, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.