Organization Active NPI

Central Fire & EMS District

  • Land Ambulance
  • Abbotsford, WI
National Provider Identifier
1881044964
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CENTRAL FIRE & EMS DISTRICT
Practice address
112 W Spruce St
Abbotsford, WI 54405-9734
Phone
(715) 613-0552
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Travis Nixdorf
Title
Chief
Phone
(715) 613-0552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

112 W Spruce St
Abbotsford, WI 54405-9734

Mailing address

112 W Spruce St
Abbotsford, WI 54405-9734
Phone (715) 613-0552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170220002944 WI Part B Supplier - Ambulance Service Supplier 5395028286 Practice locations: Abbotsford, WI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1881044964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W SPRUCE ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059734",
            "telephone_number": "715-613-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W SPRUCE ST",
            "city": "ABBOTSFORD",
            "state": "WI",
            "postal_code": "544059734",
            "telephone_number": "715-613-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FIRE & EMS DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "NIXDORF",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "715-613-0552"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abbotsford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.