Active NPI
Stratford Area Fire Department
- Land Ambulance
- Stratford, WI
National Provider Identifier
1861610883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 60-355
- 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
- Last updated
- Jun 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Troy Wiesman
- Title
- Commission Chairperson
- Phone
- (715) 897-4589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 60-355 | WI | Primary |
Addresses
Primary practice location
212200 State Highway 97
Stratford, WI 54484-4326
Mailing address
PO Box 103
Stratford, WI 54484-0103
Phone (715) 387-3988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231652151A | Medicaid | GA | |
| 41343500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120809000882 | WI | Part B Supplier - Ambulance Service Supplier | 4789830563 | Practice locations: Stratford, WI |
National Provider Directory
National Provider DirectoryLocations
613 S Weber Ave
Stratford, WI 54484
Phone (715) 687-4157
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Marshfield, WI
- NPI 1063777209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}
Other providers in Stratford, WI
- Shook Family Chiropractic, LLC
- Erin Elizabeth Shook, D.C.
- Sport & Spine Clinic L.P.
- Stephanie Denise Stevenson, OT
- Sandy Stoiber, MSE
- Stratford Chiropractic Clinic (quednow chiropractic clinic, llc)
- Stratford Therapy Services, Inc.
- Molly Townsend, RN
- Steve James Vandenberg, MPT
- Kelli R Wehman-Tubbs, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.