Active NPI
County of Lincoln
- Land Ambulance
- Merrill, WI
National Provider Identifier
1841293768
On this page
- Key facts
- Authorized official
- Other NPIs with the same Medicare PAC ID1
- Corporate family (same tax ID)2
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in Merrill, WI
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6000121
- Legal business name
- COUNTY OF LINCOLN
- Practice address
- 801 N Sales St
Suite 201
Merrill, WI 54452-1633 - Phone
- (715) 539-1019
- Fax
- (715) 539-8054
- NPI assigned
- May 24, 2005
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Deborah A Rauchle
- Title
- Administrative Secretary
- Phone
- (715) 539-1019
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Corporate family (same tax ID) 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Merrill, WI
- NPI 1083800064
-
- Case Management Agency
- Merrill, WI
- NPI 1457528598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081111000523 | WI | Part B Supplier - Ambulance Service Supplier | 4880753425 | Practice locations: Merrill, WI; Tomahawk, WI |
National Provider Directory
National Provider Directory- Tax ID family
- Lincoln County Health D
Locations
801 N Sales St
Ste 211
Merrill, WI 54452
Phone (715) 539-1027
801 N Sales St
Ste 201
Merrill, WI 54452
Phone (715) 539-1019
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6020121 | WI | |
| Land Ambulance | 3416L0300X | 6000121 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
801 N Sales St
Suite 201
Merrill, WI 54452-1633
Mailing address
801 N Sales St
Suite 201
Merrill, WI 54452-1633
Phone (715) 536-1019
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41329500 | Medicaid | WI |
Other names 1
NPPES NPI Registry- Lincoln County EMS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 11, 2008.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226361600000",
"number": "1841293768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 N SALES ST",
"address_2": "SUITE 201",
"city": "MERRILL",
"state": "WI",
"postal_code": "544521633",
"telephone_number": "715-536-1019",
"fax_number": "715-539-8054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N SALES ST",
"address_2": "SUITE 201",
"city": "MERRILL",
"state": "WI",
"postal_code": "544521633",
"telephone_number": "715-539-1019",
"fax_number": "715-539-8054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF LINCOLN",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2008-11-11",
"status": "A",
"authorized_official_last_name": "RAUCHLE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
"authorized_official_telephone_number": "715-539-1019",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WI",
"license": "6020121",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WI",
"license": "6000121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41329500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lincoln County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrill, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.