Wittenberg Area Fire/Ambulance Protective Service District Inc.
Organization Active NPI Land Ambulance · Wittenberg, WI
NPI 1790060952 · NPPES record last updated Aug 18, 2021
Key facts
- NPI
- 1790060952
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- #6604920 (WI)
- Legal business name
- WITTENBERG AREA FIRE/AMBULANCE PROTECTIVE SERVICE DISTRICT INC.
- Practice address
- 405 S. Webb St.
Wittenberg, WI 54499 - Phone
- (715) 253-3591
- NPI assigned
- Oct 19, 2011
- Organization subpart
- No
Authorized official
- Name
- Richard (Dick) J Beversdorf
- Title
- District Officer
- Phone
- (715) 881-3998
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211025001310 | WI | Part B Supplier - Ambulance Service Supplier | 3274921275 | Practice locations: Wittenberg, WI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6001357 | WI | |
| Land Ambulance | 3416L0300X | #6604920 | WI | Yes |
Addresses
Primary practice location
405 S. Webb St.
Wittenberg, WI 54499
Mailing address
PO Box 232
Wittenberg, WI 54499-0232
Phone (715) 793-3333
Other providers in Wittenberg, WI
- Alice Schmutzler
- Tracee Schuh
- Szmanda Dental Center
- Village of Wittenberg Dba Wittenberg Area Ambulance Service
- Kari Lynn White-Gaedtke
- Wittenberg-Birnamwood School District
- Aleta Avis Yellow Thunder
All providers in Wittenberg, WI · Land Ambulance in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.