Prentice Volunteer Fire Department and Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000379 Issued in WI

Legal business name

PRENTICE VOLUNTEER FIRE DEPARTMENT AND AMBULANCE SERVICE

Practice address

605 Spruce St
Prentice, WI 54556-1125

Phone

(715) 428-2124

Fax

(715) 428-2120

NPI assigned

Aug 1, 2007

Last updated

Feb 6, 2008By 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

Mrs. Laurie Kay Andreae

Title

Secretary/Treasurer

Phone

(715) 428-2124

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1740470087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SPRUCE ST",
            "city": "PRENTICE",
            "state": "WI",
            "postal_code": "545561125",
            "telephone_number": "715-428-2124",
            "fax_number": "715-428-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SPRUCE ST",
            "city": "PRENTICE",
            "state": "WI",
            "postal_code": "545561125",
            "telephone_number": "715-428-2124",
            "fax_number": "715-428-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTICE VOLUNTEER FIRE DEPARTMENT AND AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "ANDREAE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "715-428-2124",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00206768",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41334200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aspirus Medford Hospital & Clinics, Inc. (Aspirus Therapy - Prentice)
• Aspirus Medford Hospital & Clinics, Inc. (Aspirus Prentice Clinic)
• Gentle Touch Chiropractic, LLC
• Journey to Wholeness, LLC
• Prentice School District
• Mary Beth Reynolds, FNP-BC, APNP
• David L Schultz, PT
• Stable Reins, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.