NPIMap

Organization Active NPI

Village of Oostburg

  • Ambulance
  • Oostburg, WI
National Provider Identifier
1750375283
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
6001057 Issued in WI
Legal business name
VILLAGE OF OOSTBURG
Practice address
20 S 11TH Street
Oostburg, WI 53070-0077
Phone
(920) 564-3013
Fax
(920) 564-6282
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. Jack E Hoffmann
Title
Village Board President
Phone
(920) 564-3214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 6001057 WI Primary

Addresses

Primary practice location

20 S 11TH Street
Oostburg, WI 53070-0077

Mailing address

PO Box 700077
Oostburg, WI 53070-0077
Phone (920) 564-3013

Other identifiers 1

IdentifierTypeStateIssuer
41321300MedicaidWI

Other names 1

  • Oostburg Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

20 S 11th St
Oostburg, WI 53070
Phone (920) 564-3013

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1750375283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700077",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530700077",
            "telephone_number": "920-564-3013",
            "fax_number": "920-564-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S 11TH STREET",
            "city": "OOSTBURG",
            "state": "WI",
            "postal_code": "530700077",
            "telephone_number": "920-564-3013",
            "fax_number": "920-564-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OOSTBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "HOFFMANN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VILLAGE BOARD PRESIDENT",
        "authorized_official_telephone_number": "920-564-3214",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6001057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41321300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oostburg Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oostburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.