Belmont Fire Protection District, Inc.

Key facts

NPI: 1831265644
Entity type: Organization (NPI type 2)
Primary specialty: Basic Emergency Medical Technician 146N00000X
License: 60-00400 (WI)
Legal business name: BELMONT FIRE PROTECTION DISTRICT, INC.
Practice address: 103 Market St.
Belmont, WI 53510-0052
Phone: (608) 762-5495
Fax: (608) 762-5533
NPI assigned: Nov 27, 2006
Organization subpart: No

Authorized official

Name: Roberta J Buss
Title: Billing Clerk
Phone: (608) 762-5495

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
52D0983176	Belmont Ambulance Service 103 Market St, Belmont, WI 53510	Certificate of waiver	Feb 15, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20140521001759	WI	Part B Supplier - Ambulance Service Supplier	7618190588	Practice locations: Belmont, WI

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Basic Emergency Medical Technician Group: 193400000X SINGLE SPECIALTY GROUP	146N00000X	60-00400	WI	Yes
Ambulance	341600000X
Land Ambulance	3416L0300X

Addresses

Primary practice location

103 Market St.
Belmont, WI 53510-0052

Mailing address

PO Box 52
Belmont, WI 53510-0052
Phone (608) 762-5495

Other identifiers

Identifier	Type	State	Issuer
41331700	Medicaid	WI

Other names

Belmont Ambulance Service Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 6, 2019.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1831265644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52",
            "city": "BELMONT",
            "state": "WI",
            "postal_code": "535100052",
            "telephone_number": "608-762-5495",
            "fax_number": "608-762-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MARKET ST.",
            "city": "BELMONT",
            "state": "WI",
            "postal_code": "535100052",
            "telephone_number": "608-762-5495",
            "fax_number": "608-762-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT FIRE PROTECTION DISTRICT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "BUSS",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "608-762-5495"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": "WI",
            "license": "60-00400",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41331700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Belmont Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belmont, WI

All providers in Belmont, WI · Basic Emergency Medical Technician in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2019. 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.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.