Active NPI
Village of Lafarge
- Land Ambulance
- La Farge, WI
National Provider Identifier
1760534648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6001078
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110211000995 | WI | Part B Supplier - Ambulance Service Supplier | 2668652330 | Practice locations: Lafarge, WI |
National Provider Directory
National Provider DirectoryNPI 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.