Organization Active NPI

Village of Germantown

Doing business as Germantown Fire Department

  • Land Ambulance
  • Germantown, WI
National Provider Identifier
1801900279
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001321 Issued in WI
Legal business name
VILLAGE OF GERMANTOWN
Doing business as
Germantown Fire Department
Practice address
N115W18752 Edison Dr
Germantown, WI 53022-3136
Phone
(262) 502-4701
NPI assigned
Aug 19, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryker Holms
Title
Battalion Chief
Phone
(262) 502-4701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6001321 WI Primary

Addresses

Primary practice location

N115W18752 Edison Dr
Germantown, WI 53022-3136

Mailing address

PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988

Other identifiers 1

IdentifierTypeStateIssuer
41310300MedicaidWI

Other names 1

  • GERMANTOWN FIRE DEPARTMENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000987 WI Part B Supplier - Ambulance Service Supplier 5991695835 Practice locations: Germantown, WI

National Provider Directory

National Provider Directory

Locations

N115W18752 Edison Dr
Germantown, WI 53022
Phone (262) 253-7795

W162N11862 Park Ave
Germantown, WI 53022
Phone (262) 253-7795

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1801900279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6253",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601976253",
            "telephone_number": "630-530-2988",
            "fax_number": "630-832-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N115W18752 EDISON DR",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530223136",
            "telephone_number": "262-502-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF GERMANTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "HOLMS",
        "authorized_official_first_name": "RYKER",
        "authorized_official_title_or_position": "BATTALION CHIEF",
        "authorized_official_telephone_number": "262-502-4701"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41310300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GERMANTOWN FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.