Organization Active NPI

Stratford Area Fire Department

  • Land Ambulance
  • Stratford, WI
National Provider Identifier
1861610883
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
60-355 Issued in 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
Last updated
Jun 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
231652151AMedicaidGA
41343500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120809000882 WI Part B Supplier - Ambulance Service Supplier 4789830563 Practice locations: Stratford, WI

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.