Organization Active NPI

County of Lincoln

  • Land Ambulance
  • Merrill, WI
National Provider Identifier
1841293768
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6000121 Issued in WI
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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 (3 organizations share this tax ID)

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)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6020121 WI
Land Ambulance 3416L0300X 6000121 WI Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
41329500MedicaidWI

Other names 1

NPPES NPI Registry
  • Lincoln County EMS Doing business as

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.

Verify at the official NPI Registry.