City of Chippewa Falls

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF CHIPPEWA FALLS

Practice address

211 Bay St
Chippewa Falls, WI 54729-2659

Phone

(715) 723-5710

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Kent Larson

Title

Fire Chief

Phone

(715) 726-2712

Specialties & licenses 1

Addresses

Other identifiers 8

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1841243896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BAY ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BAY ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292659",
            "telephone_number": "715-723-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHIPPEWA FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "715-726-2712"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1012453",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41345700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMG",
            "identifier": "000081087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41345700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8182929",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000081087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418913200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blane Christman, DDS
• Rena J. Christman, DMD
• Sirin Chundu, DDS
• Desiree Ciokiewicz, SAC
• Halie Marie Ciokiewicz, DNP, APNP, FNP-C
• City of Chippewa Falls Fire & Emergency Services
• Clark Family Dental Inc
• Ronald Clutter, D.C.
• Monique Collette
• Connection Therapy & Wellness, LLC

• Land Ambulance in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.