Tess Corners Volunteer Fire Dept

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000516 Issued in WI

Legal business name

TESS CORNERS VOLUNTEER FIRE DEPT

Practice address

W144S6731 Tess Corners Dr
Muskego, WI 53150-3155

Phone

(414) 422-9733

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Scherff Sulik

Title

Vice President

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1891801015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610",
            "fax_number": "262-375-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W144S6731 TESS CORNERS DR",
            "city": "MUSKEGO",
            "state": "WI",
            "postal_code": "531503155",
            "telephone_number": "414-422-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TESS CORNERS VOLUNTEER FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHERFF SULIK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "262-375-9610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41338300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.