City of Menomonie

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001364 Issued in WI

Legal business name

CITY OF MENOMONIE

Doing business as

Menomonie Fire Department

Practice address

116 Main St W
Menomonie, WI 54751-2466

Phone

(715) 232-2414

Fax

(715) 232-1574

NPI assigned

Feb 20, 2006

Last updated

Apr 20, 2008By 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

John R Baus

Title

Fire Chief

Phone

(715) 232-2414

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MENOMONIE FIRE DEPARTMENT 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": "1140393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1699740142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MAIN ST W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547512466",
            "telephone_number": "715-232-2414",
            "fax_number": "715-232-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MENOMONIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BAUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "715-232-2414"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41354400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MENOMONIE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Sue Cherney, MS CRC G&C
• Jody M Chilsen, PA-C
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• Sarah Ann Cormell, LCSW, SAC

• Land Ambulance in Menomonie, WI
• Providers in Menomonie, 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 20, 2008; 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.