Organization Active NPI

Deforest Windsor Fire & EMS District Board

Doing business as DeForest Windsor Fire & EMS

  • Land Ambulance
  • Deforest, WI
National Provider Identifier
1679526594
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WI0101OtherJOHN DEERE
41323200OtherWIWI RENAL PROGRAM
204563300OtherWORKER'S COMPENSATION
41323200MedicaidWI
000082027OtherADVOCARE MCHMO
1012174OtherPHYSICIAN'S PLUS
41323200OtherWIHIRSP

Other names 1

  • DeForest Windsor Fire & EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040120000376 WI Part B Supplier - Ambulance Service Supplier 9436050697 Practice locations: Deforest, WI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.