Active NPI
Village of Saukville
- Land Ambulance
- Saukville, WI
National Provider Identifier
1710931373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF SAUKVILLE
- Doing business as
- SAUKVILLE FIRE DEPARTMENT AND EMERGENCY SQUAD
- Practice address
- 520 W Dekora St
Saukville, WI 53080-1619 - Phone
- (262) 284-5800
- Fax
- (262) 284-0775
- NPI assigned
- May 19, 2006
- 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
- William Rice, FIRE CHIEF
- Title
- Fire Chief
- Phone
- (262) 375-5314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
520 W Dekora St
Saukville, WI 53080-1619
Mailing address
520 W Dekora St
Saukville, WI 53080-1619
Phone (262) 284-9423
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41325000 | Medicaid | WI | |
| WI0101 | Other | JOHN DEERE | |
| 000082502 | Other | ADVOCARE MCHMO | |
| 41325000 | Other | WI | HIRSP |
| 1031604 | Other | PHYSICIAN'S PLUS |
Other names 1
- SAUKVILLE FIRE DEPARTMENT AND EMERGENCY SQUAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050711000186 | WI | Part B Supplier - Ambulance Service Supplier | 8123054301 | Practice locations: Saukville, WI |
National Provider Directory
National Provider DirectoryLocations
520 W Dekora St
Saukville, WI 53080
Phone (262) 284-9423
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": "1635724800000",
"number": "1710931373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W DEKORA ST",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530801619",
"telephone_number": "262-284-9423",
"fax_number": "262-284-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W DEKORA ST",
"city": "SAUKVILLE",
"state": "WI",
"postal_code": "530801619",
"telephone_number": "262-284-5800",
"fax_number": "262-284-0775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF SAUKVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "262-375-5314",
"authorized_official_credential": "FIRE CHIEF"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41325000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "WI0101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCARE MCHMO",
"identifier": "000082502",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIRSP",
"identifier": "41325000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S PLUS",
"identifier": "1031604",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SAUKVILLE FIRE DEPARTMENT AND EMERGENCY SQUAD",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SAUKVILLE FIRE DEPARTMENT AND EMERGENCY SQUAD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saukville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.