Organization Active NPI

Village of Saukville

  • Land Ambulance
  • Saukville, WI
National Provider Identifier
1710931373
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Nov 1, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41325000MedicaidWI
WI0101OtherJOHN DEERE
000082502OtherADVOCARE MCHMO
41325000OtherWIHIRSP
1031604OtherPHYSICIAN'S PLUS

Other names 1

  • SAUKVILLE FIRE DEPARTMENT AND EMERGENCY SQUAD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050711000186 WI Part B Supplier - Ambulance Service Supplier 8123054301 Practice locations: Saukville, WI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.