Osceola Area Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

OSCEOLA AREA AMBULANCE

Doing business as

Osceola Area Ambulance Service

Practice address

403 3Rd Ave E
Osceola, WI 54020-8170

Phone

(715) 294-3911

NPI assigned

May 27, 2006

Last updated

May 12, 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

Robyn Foster

Title

Director

Phone

(651) 210-5594

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Osceola Area Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1780631697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 3RD AVE E",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540208170",
            "telephone_number": "715-294-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCEOLA AREA AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-210-5594"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000085374",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41337200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osceola Area Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.