Organization Active NPI

Town of Delafield

  • Land Ambulance
  • Pewaukee, WI
National Provider Identifier
1841342573
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6000561 Issued in WI
Legal business name
TOWN OF DELAFIELD
Practice address
W304N2455 Maple Ave
Pewaukee, WI 53072
Phone
(262) 542-9699
Fax
(262) 549-9177
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Ms. Janet M Whettam
Title
Office Manager
Phone
(262) 542-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6000561 WI Primary

Addresses

Primary practice location

W304N2455 Maple Ave
Pewaukee, WI 53072

Mailing address

N14W30782 Golf Rd
Delafield, WI 53018
Phone (262) 542-9699

Other identifiers 1

IdentifierTypeStateIssuer
41314900MedicaidWI

National Provider Directory

National Provider Directory

Locations

W329S690 County Road C
Delafield, WI 53018
Phone (262) 646-8920

W302N1208 Maple Ave
Delafield, WI 53018
Phone (262) 646-6235

N14W30782 Golf Rd
Delafield, WI 53018

W304N2455 Maple Ave
Pewaukee, WI 53072
Phone (262) 367-6930

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1841342573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N14W30782 GOLF RD",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "53018",
            "telephone_number": "262-542-9699",
            "fax_number": "262-549-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W304N2455 MAPLE AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "53072",
            "telephone_number": "262-542-9699",
            "fax_number": "262-549-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DELAFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "WHETTAM",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-542-9699",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41314900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.