Town of Bristol

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000385 Issued in WI

Legal business name

TOWN OF BRISTOL

Practice address

8301 198TH Ave
Bristol, WI 53104-9513

Phone

(262) 857-2711

Fax

(262) 857-2136

NPI assigned

Jun 4, 2006

Last updated

Jan 5, 2010By 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

Peter Parker

Title

Chief

Phone

(262) 857-2711

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bristol Fire and Rescue Former legal business name

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1902844368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900457",
            "telephone_number": "847-577-8811",
            "fax_number": "847-577-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 198TH AVE",
            "city": "BRISTOL",
            "state": "WI",
            "postal_code": "531049513",
            "telephone_number": "262-857-2711",
            "fax_number": "262-857-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BRISTOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "262-857-2711"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41355700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "590012077",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Fire and Rescue",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kristin M Keeler, S.C
• Megan May, M.S.
• Erika McCullough, LPN
• Dennette L. Scheckel, MHS, CCC/SLP/L
• Jean R Shannon
• United Hospital System
• Village of Bristol
• Nikki E Williams, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.