Municipal Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MUNICIPAL AMBULANCE SERVICE

Practice address

216 Sunset PL
Neillsville, WI 54456-1706

Phone

(715) 743-3101

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Ken Marg

Title

Manager

Phone

(715) 743-3101

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Neillsville Municipal Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1861446403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 SUNSET PL",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 SUNSET PL",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "544561706",
            "telephone_number": "715-743-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNICIPAL AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "MARG",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "715-743-3101"
    },
    "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": "000083677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41331200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neillsville Municipal Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benjamin Mohr, R.D.
• Therese M Mollinger Olson, RD
• Momentum Peer Support LLC
• Kara Montie
• Heather Marie Mueller, BS
• Neillsville School District
• Kaye Lynn Nowobielski, RDH
• Olivia Nnenna Nwaedozie, MD
• Danielle Margaret O'Brien, COTA
• Shauna O'Keefe

• All providers in Neillsville, WI
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.