Elroy Area Fire & Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ELROY AREA FIRE & AMBULANCE ASSOCIATION INC

Doing business as

Elroy Area Fire/Ambulance Assc

Practice address

220 Main St
Elroy, WI 53929-1252

Phone

(608) 547-8155

Fax

(608) 462-5006

NPI assigned

May 19, 2006

Last updated

May 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Lindemann

Title

President

Phone

(608) 547-5139

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Elroy Area Fire/Ambulance Assc Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1841244670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 OMAHA ST",
            "city": "ELROY",
            "state": "WI",
            "postal_code": "539299776",
            "telephone_number": "608-462-2400",
            "fax_number": "608-462-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST",
            "city": "ELROY",
            "state": "WI",
            "postal_code": "539291252",
            "telephone_number": "608-547-8155",
            "fax_number": "608-462-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELROY AREA FIRE & AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "LINDEMANN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-547-5139"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000081226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1019570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41315200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elroy Area Fire/Ambulance Assc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elroy Area Fire/Ambulance Assc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gina Klean

• Land Ambulance in Elroy, WI
• Providers in Elroy, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.