Active NPI
Fitch-Rona EMS District
- Land Ambulance
- Verona, WI
National Provider Identifier
1689653610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6001186
- 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, 2021
- 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
- Patrick A Anderson, NREMT-P
- Title
- EMS Chief
- Phone
- (608) 497-2952
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41305700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080329000092 | WI | Part B Supplier - Ambulance Service Supplier | 9436167509 | Practice locations: Fitchburg, WI; Verona, WI |
National Provider Directory
National Provider DirectoryLocations
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.