Active NPI
Town of Iron River
Doing business as Town of Iron River Ambulance Service
- Land Ambulance
- Iron River, WI
National Provider Identifier
1831248475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6000776
- Legal business name
- TOWN OF IRON RIVER
- Doing business as
- Town of Iron River Ambulance Service
- Practice address
- 8285 US Highway 2
Iron River, WI 54847-3436 - Phone
- (715) 372-8774
- Fax
- (715) 372-4394
- NPI assigned
- Jan 10, 2007
- Last updated
- Jul 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary(Micky) E. Mullozzi, R.E.M.T.
- Title
- Emergency Medical Technitian-Billin
- Phone
- (715) 372-8774
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6000776 | WI | Primary |
Addresses
Primary practice location
8285 US Highway 2
Iron River, WI 54847-3436
Mailing address
8285 US Highway 2
P.O. Box 53
Iron River, WI 54847-3436
Phone (715) 372-8774
Other names 1
- Town of Iron River Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101123000896 | WI | Part B Supplier - Ambulance Service Supplier | 9931395456 | Practice locations: Iron River, WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Colorado Springs, CO
- NPI 1386950475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277942400000",
"number": "1831248475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8285 US HIGHWAY 2",
"address_2": "P.O. BOX 53",
"city": "IRON RIVER",
"state": "WI",
"postal_code": "548473436",
"telephone_number": "715-372-8774",
"fax_number": "715-372-4394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8285 US HIGHWAY 2",
"city": "IRON RIVER",
"state": "WI",
"postal_code": "548473436",
"telephone_number": "715-372-8774",
"fax_number": "715-372-4394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF IRON RIVER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2010-07-01",
"status": "A",
"authorized_official_last_name": "MULLOZZI",
"authorized_official_first_name": "MARY(MICKY)",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "EMERGENCY MEDICAL TECHNITIAN-BILLIN",
"authorized_official_telephone_number": "715-372-8774",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "R.E.M.T."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WI",
"license": "6000776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Town of Iron River Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Iron River, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.