Active NPI
Village of Howard
- Ambulance
- Green Bay, WI
National Provider Identifier
1720850852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VILLAGE OF HOWARD
- Practice address
- 2456 Glendale Ave
Green Bay, WI 54313-6502 - Phone
- (920) 434-4679
- NPI assigned
- Oct 23, 2023
- 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
- Dennis P Staeven, PARAMEDIC
- Title
- Fire Chief
- Phone
- (920) 434-4679
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2456 Glendale Ave
Green Bay, WI 54313-6502
Mailing address
2456 Glendale Ave
Green Bay, WI 54313-6502
Phone (920) 434-4679
Other names 1
- Howard Fire Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240220002638 | WI | Part B Supplier - Ambulance Service Supplier | 4981048741 | Practice locations: Green Bay, WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1720850852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2456 GLENDALE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543136502",
"telephone_number": "920-434-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2456 GLENDALE AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543136502",
"telephone_number": "920-434-4679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF HOWARD",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "STAEVEN",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "920-434-4679",
"authorized_official_credential": "PARAMEDIC"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Howard Fire Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.