Active NPI
Cambridge Area EMS
- Land Ambulance
- Cambridge, WI
National Provider Identifier
1902851454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CAMBRIDGE AREA EMS
- Practice address
- 205 W Main
Cambridge, WI 53523 - Phone
- (608) 423-3511
- NPI assigned
- May 23, 2006
- Last updated
- Oct 28, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Bauldauf
- Title
- Director
- Phone
- (608) 423-3511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
205 W Main
Cambridge, WI 53523
Mailing address
PO Box 272
Cambridge, WI 53523-0272
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000088673 | Other | ADVOCARE MCHMO | |
| 1012209 | Other | PHYSICIAN'S PLUS | |
| WI0101 | Other | JOHN DEERE | |
| 41342600 | Medicaid | WI | |
| 8182550 | Other | MEDICA | |
| 41342600 | Other | WI | HIRSP |
| 501377 | Other | DEANCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080304000377 | WI | Part B Supplier - Ambulance Service Supplier | 4284719097 | Practice locations: Cambridge, WI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256688000000",
"number": "1902851454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 272",
"city": "CAMBRIDGE",
"state": "WI",
"postal_code": "535230272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W MAIN",
"city": "CAMBRIDGE",
"state": "WI",
"postal_code": "53523",
"telephone_number": "608-423-3511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIDGE AREA EMS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2009-10-28",
"status": "A",
"authorized_official_last_name": "BAULDAUF",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "608-423-3511"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVOCARE MCHMO",
"identifier": "000088673",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN'S PLUS",
"identifier": "1012209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "WI0101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41342600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "8182550",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIRSP",
"identifier": "41342600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEANCARE",
"identifier": "501377",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, WI
- Angela Marie Bauer Williams, D.D.S.
- Gail Patricia Beaver, COTA
- Beloved Therapy LLC
- Blumon Corporation (Forward Pharmacy of Cambridge)
- Kevin O Browne, LCSW
- Cambridge Clinic of Chiropractic, L.C.C. (Cambridge Clinic of Chiropractic)
- Cambridge Counseling Clinic Inc
- Diane E Campton, RN
- Mandy J Cramer-Guenther, RN
- Fabrizio Damiani, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.