Organization Active NPI

Shawano Ambulance Service, Inc.

  • Paramedic
  • Shawano, WI
National Provider Identifier
1730136391
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
6000338 Issued in WI
Legal business name
SHAWANO AMBULANCE SERVICE, INC.
Practice address
220 N Main St
Shawano, WI 54166-2144
Phone
(715) 524-2036
Fax
(715) 524-3292
NPI assigned
May 28, 2006
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Patrick A. Trinko
Title
Director
Phone
(715) 524-2036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 6000338 WI Primary

Addresses

Primary practice location

220 N Main St
Shawano, WI 54166-2144

Mailing address

220 N Main St
Shawano, WI 54166-2144
Phone (715) 524-2036

Other identifiers 1

IdentifierTypeStateIssuer
41330700MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100331000629 WI Part B Supplier - Ambulance Service Supplier 6406982297 Practice locations: Shawano, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1059007Shawano Ambulance Service220 N Main St, Shawano, WI 54166Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

220 N Main St
Shawano, WI 54166
Phone (715) 524-2036

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1730136391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662144",
            "telephone_number": "715-524-2036",
            "fax_number": "715-524-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N MAIN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662144",
            "telephone_number": "715-524-2036",
            "fax_number": "715-524-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWANO AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "TRINKO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-524-2036"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "WI",
            "license": "6000338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41330700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.