City of Princeton

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF PRINCETON

Practice address

438 West Main St
Princeton, WI 54968

Phone

(920) 295-6612

Fax

(920) 295-3441

NPI assigned

Apr 25, 2006

Last updated

Aug 22, 2020By 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

Ms. Cheryle R Nickel

Title

Ambulance Secretary

Phone

(920) 295-6612

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Princeton Ambulance Other name

Locations

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780640250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53",
            "address_2": "438 WEST MAIN ST",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "54968",
            "telephone_number": "920-295-6612",
            "fax_number": "920-295-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 WEST MAIN ST",
            "city": "PRINCETON",
            "state": "WI",
            "postal_code": "54968",
            "telephone_number": "920-295-6612",
            "fax_number": "920-295-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PRINCETON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "CHERYLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AMBULANCE SECRETARY",
        "authorized_official_telephone_number": "920-295-6612",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41321800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princeton Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Ambulance in Princeton, WI
• Providers in Princeton, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.