City of Durand

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

60-00689 Issued in WI

Legal business name

CITY OF DURAND

Doing business as

Municipal Ambulance Service

Practice address

104 E Main St
Durand, WI 54736-1143

Phone

(715) 672-8770

Fax

(715) 672-8236

NPI assigned

Jun 16, 2005

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

Mr. Jon A Pfeilsticker

Title

Clerk-Treasurer

Phone

(715) 672-8770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Municipal Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790780773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547360202",
            "telephone_number": "715-672-8770",
            "fax_number": "715-672-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E MAIN ST",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361143",
            "telephone_number": "715-672-8770",
            "fax_number": "715-672-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DURAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFEILSTICKER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLERK-TREASURER",
        "authorized_official_telephone_number": "715-672-8770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "60-00689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41341000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Municipal Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert L Dohlman, MD
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• Durand Optometry Clinic LLC
• Joseph L. Elsner, DO

• Land Ambulance in Durand, WI
• Providers in Durand, WI by specialty
• Land 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.
• 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.