Boyceville Community Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001076 Issued in WI

Legal business name

BOYCEVILLE COMMUNITY AMBULANCE DISTRICT

Practice address

504 Race St
Boyceville, WI 54725-7521

Phone

(715) 643-3911

Fax

(715) 643-3912

NPI assigned

Apr 18, 2017

Last updated

Apr 18, 2017By 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

Matthew J Feeney

Title

Fire Chief

Phone

(715) 556-7229

Specialties & licenses 1

Addresses

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": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1750815619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "800-244-2345",
            "fax_number": "800-329-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 RACE ST",
            "city": "BOYCEVILLE",
            "state": "WI",
            "postal_code": "547257521",
            "telephone_number": "715-643-3911",
            "fax_number": "715-643-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYCEVILLE COMMUNITY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "FEENEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "715-556-7229"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Jo Anderson, LPN
• Steven Mark Anderson, LPN
• Carrie Jo Bartos, RN
• Boyceville Community School District
• Cna Professional Services, L.L.P.
• Kysa Lyndell Deitz, CCC-SLP
• Helens Home LLC
• Shanna Lee Krueger, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.