Muscoda Joint Fire District
Organization Active NPI Ambulance · Muscoda, WI
NPI 1720120702 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720120702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 6000088 (WI)
- Legal business name
- MUSCODA JOINT FIRE DISTRICT
- Practice address
- 701 N Wisconsin Ave
Muscoda, WI 53573-0186 - Phone
- (608) 739-3006
- Fax
- (608) 739-4478
- NPI assigned
- Feb 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Eileen A Wilkinson
- Title
- Secretary Treasurer
- Phone
- (608) 739-3006
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110506000676 | WI | Part B Supplier - Ambulance Service Supplier | 2961687942 | Practice locations: Muscoda, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 6000088 | WI | Yes |
Addresses
Primary practice location
701 N Wisconsin Ave
Muscoda, WI 53573-0186
Mailing address
PO Box 186
701 N Wisconsin Ave
Muscoda, WI 53573-0186
Phone (608) 739-3006
Other providers in Muscoda, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.