Village of Wittenberg Dba Wittenberg Area Ambulance Service

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

60-01357 Issued in WI

Legal business name

VILLAGE OF WITTENBERG DBA WITTENBERG AREA AMBULANCE SERVICE

Practice address

405 South Webb Street
Wittenberg, WI 54499

Phone

(715) 253-3591

Fax

(715) 253-3772

NPI assigned

Sep 13, 2005

Last updated

Jun 17, 2008By 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

Mrs. Kathy Maves

Title

Office Manager

Phone

(715) 793-3333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1851386171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MAIN ST",
            "city": "BOWLER",
            "state": "WI",
            "postal_code": "544169704",
            "telephone_number": "715-793-3333",
            "fax_number": "715-793-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SOUTH WEBB STREET",
            "city": "WITTENBERG",
            "state": "WI",
            "postal_code": "54499",
            "telephone_number": "715-253-3591",
            "fax_number": "715-253-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF WITTENBERG DBA WITTENBERG AREA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MAVES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "715-793-3333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "WI",
            "license": "60-01357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41353200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond M Goga
• Shane Resch
• Alice Schmutzler, NP
• Tracee Schuh, COTA
• Szmanda Dental Center
• Kari Lynn White-Gaedtke, MS, CCC-SLP
• Wittenberg Area Fireambulance Protective Service District Inc
• Wittenberg-Birnamwood School District
• Aleta Avis Yellow Thunder, BA, SACIT

• Emergency Care Clinic/Center in Wittenberg, WI
• Providers in Wittenberg, WI by specialty
• Emergency Care Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.