Organization Active NPI

City of Oak Creek

  • Land Ambulance
  • Oak Creek, WI
National Provider Identifier
1699859975
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6000330 Issued in WI
Legal business name
CITY OF OAK CREEK
Practice address
7000 S 6TH St
Oak Creek, WI 53154-1450
Phone
(414) 570-5630
Fax
(414) 570-5631
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Mr. Brian Satula
Title
Fire Chief
Phone
(414) 768-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6000330 WI Primary

Addresses

Primary practice location

7000 S 6TH St
Oak Creek, WI 53154-1450

Mailing address

7000 S 6TH St
Oak Creek, WI 53154-1450
Phone (414) 570-5630

Other identifiers 4

IdentifierTypeStateIssuer
3960022803011OtherWIBCBS PROVIDER ID
8100087OtherWIUHC PROVIDER ID
41319500MedicaidWI
590013446OtherWIMEDICARE RAILROAD PROV ID

Other names 1

  • City of Oak Creek Fire Dept Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070110000469 WI Part B Supplier - Ambulance Service Supplier 7214937580 Practice locations: Oak Creek, WI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0985329City of Oak Creek Fire Department7000 S 6TH St, Oak Creek, WI 53154Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory
Tax ID family
City of Oak Creek2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

255 E Centennial Dr
Oak Creek, WI 53154
Phone (414) 570-5630

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1699859975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 S 6TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541450",
            "telephone_number": "414-570-5630",
            "fax_number": "414-570-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S 6TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541450",
            "telephone_number": "414-570-5630",
            "fax_number": "414-570-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF OAK CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "SATULA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "414-768-6555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "3960022803011",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER ID",
            "identifier": "8100087",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41319500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PROV ID",
            "identifier": "590013446",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Oak Creek Fire Dept",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.