Organization Active NPI

Fitch-Rona EMS District

  • Land Ambulance
  • Verona, WI
National Provider Identifier
1689653610
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001186 Issued in WI
Legal business name
FITCH-RONA EMS DISTRICT
Practice address
101 Lincoln St
Verona, WI 53593-1520
Phone
(608) 497-2952
Fax
(608) 845-9455
NPI assigned
Jan 10, 2006
Last updated
Feb 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Patrick A Anderson, NREMT-P
Title
EMS Chief
Phone
(608) 497-2952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6001186 WI Primary

Addresses

Primary practice location

101 Lincoln St
Verona, WI 53593-1520

Mailing address

PO Box 72140
Cedarburg, WI 53012-7340
Phone (262) 375-9610

Other identifiers 1

IdentifierTypeStateIssuer
41305700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080329000092 WI Part B Supplier - Ambulance Service Supplier 9436167509 Practice locations: Fitchburg, WI; Verona, WI

National Provider Directory

National Provider Directory

Locations

2931 Marketplace Dr
Fitchburg, WI 53719
Phone (608) 497-2950

2950 S Syene Rd
Fitchburg, WI 53711
Phone (608) 270-7070

5415 King James Way
Fitchburg, WI 53719
Phone (608) 275-7148

101 Lincoln St
Verona, WI 53593
Phone (608) 497-2909

416 Venture Ct
Verona, WI 53593
Phone (608) 848-8592

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1689653610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LINCOLN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931520",
            "telephone_number": "608-497-2952",
            "fax_number": "608-845-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITCH-RONA EMS DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "608-497-2952",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41305700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.