City of Durand
Organization Active NPI Land Ambulance · Durand, WI
NPI 1790780773 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1790780773
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 60-00689 (WI)
- Legal business name
- CITY OF DURAND
- Practice address
- 104 E Main St
Durand, WI 54736-1143 - Phone
- (715) 672-8770
- Fax
- (715) 672-8236
- NPI assigned
- Jun 16, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Jon A Pfeilsticker
- Title
- Clerk-Treasurer
- Phone
- (715) 672-8770
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040812001374 | WI | Part B Supplier - Ambulance Service Supplier | 4385617901 | Practice locations: Durand, WI |
National Provider Directory
Locations
408 6th Ave W
Durand, WI 54736
Phone (715) 572-8770
104 E Main St
Durand, WI 54736
Phone (715) 672-8770
205 E Montgomery St
Durand, WI 54736
Phone (715) 672-8770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 60-00689 | WI | Yes |
Addresses
Primary practice location
104 E Main St
Durand, WI 54736-1143
Mailing address
PO Box 202
Durand, WI 54736-0202
Phone (715) 672-8770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41341000 | Medicaid | WI |
Other names
- Municipal Ambulance Service
Other providers in Durand, WI
- Castleberg Clinic SC
- Chippewa Valley Dental Clinic, LTD
- Chippewa Valley Hospital & Oakview Care Center Inc.
- Chippewa Valley Hospital & Oakview Care Center, Inc.
- Chippewa Valley Hospital & Oakview Care Center, Inc.
- Brady Didion
- Robert L Dohlman
- Lanita Dorwin
- Durand Optometry Clinic LLC
- Joseph L. Elsner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.