Blooming Grove, Burke, Maple Bluff EMS Ambulance District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BLOOMING GROVE, BURKE, MAPLE BLUFF EMS AMBULANCE DISTRICT

Practice address

18 Oxford PL
Madison, WI 53704-5955

Phone

(608) 244-3390

NPI assigned

May 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Englehart

Title

Chief/Director

Phone

(608) 244-3390

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891747903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OXFORD PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OXFORD PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537045955",
            "telephone_number": "608-244-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING GROVE, BURKE, MAPLE BLUFF EMS AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGLEHART",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CHIEF/DIRECTOR",
        "authorized_official_telephone_number": "608-244-3390"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI CHRONIC DISEASE PROG",
            "identifier": "41308700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE MAHMO",
            "identifier": "VNDR 531534",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41308700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41308700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1012155",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Av Bloom, DPT
• Linda Bloom, PHD
• Margaret Claire Bloom, DNP, AG-ACNP
• Paul Stewart Bloom, D.C.
• Emily Bloomfield
• Blossoming Wellness, LLC
• Blue Feather Psychotherapy, LLC
• Blue River Chiropractic LLC
• Blue Sky Mental Health, SC
• Katherine Blue, MS, CCC-SLP

• Land Ambulance in Madison, WI
• Providers in Madison, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.