Organization Active NPI

Village of Lafarge

  • Land Ambulance
  • La Farge, WI
National Provider Identifier
1760534648
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001078 Issued in WI
Legal business name
VILLAGE OF LAFARGE
Doing business as
LaFarge Area Ambulance
Practice address
201 S Cherry St
La Farge, WI 54639
Phone
(608) 625-6147
Fax
(608) 625-2110
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Mr. Gregory Michael Lawton, EMT-BASIC
Title
Service Director
Phone
(608) 625-6147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6001078 WI Primary

Addresses

Primary practice location

201 S Cherry St
La Farge, WI 54639

Mailing address

PO Box 327
La Farge, WI 54639-0327
Phone (608) 625-6147

Other names 1

  • LaFarge Area Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110211000995 WI Part B Supplier - Ambulance Service Supplier 2668652330 Practice locations: Lafarge, WI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1760534648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "546390327",
            "telephone_number": "608-625-6147",
            "fax_number": "608-625-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S CHERRY ST",
            "city": "LA FARGE",
            "state": "WI",
            "postal_code": "54639",
            "telephone_number": "608-625-6147",
            "fax_number": "608-625-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF LAFARGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "LAWTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "608-625-6147",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-BASIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaFarge Area Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Farge, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.