Town of Ixonia

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF IXONIA

Doing business as

Town of Ixonia Fire & EMS

Practice address

N8320 North St
Ixonia, WI 53036-9710

Phone

(262) 261-2440

NPI assigned

May 20, 2006

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Petrie

Title

Chief

Phone

(920) 261-2440

Specialties & licenses 1

Addresses

Other names 1

• Town of Ixonia Fire & EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1730133299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 109",
            "city": "IXONIA",
            "state": "WI",
            "postal_code": "530360109",
            "telephone_number": "920-261-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N8320 NORTH ST",
            "city": "IXONIA",
            "state": "WI",
            "postal_code": "530369710",
            "telephone_number": "262-261-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF IXONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "PETRIE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "920-261-2440"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Ixonia Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy L Lauersdorf, LPN
• Kerry Wayne Lynch, PH.D.
• Jessica M Nevermann, MS CCC-SLP
• Alissa Olson, LCSW, CSAC
• Beth Marie Pape, N.P.
• Watertown Regional Medical Center Inc (UWHP WRMC Ixonia Clinic)
• Jennifer Ann Weinreis

• Land Ambulance in Ixonia, WI
• Providers in Ixonia, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.