Stratford Area Fire Department

Key facts

NPI

1861610883

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

License

60-355 (WI)

Legal business name

STRATFORD AREA FIRE DEPARTMENT

Practice address

212200 State Highway 97
Stratford, WI 54484-4326

Phone

(715) 687-4157

Fax

(715) 391-1040

NPI assigned

Apr 23, 2007

Organization subpart

No

Authorized official

Name

Mr. Troy Wiesman

Title

Commission Chairperson

Phone

(715) 897-4589

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Maguire, PHARMD Pharmacist · Marshfield, WI · NPI 1063777209
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 21, 2024.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1861610883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 103",
            "city": "STRATFORD",
            "state": "WI",
            "postal_code": "544840103",
            "telephone_number": "715-387-3988",
            "fax_number": "715-387-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212200 STATE HIGHWAY 97",
            "city": "STRATFORD",
            "state": "WI",
            "postal_code": "544844326",
            "telephone_number": "715-687-4157",
            "fax_number": "715-391-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD AREA FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WIESMAN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "COMMISSION CHAIRPERSON",
        "authorized_official_telephone_number": "715-897-4589",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "60-355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231652151A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41343500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Stratford, WI · Land Ambulance in Wisconsin