Chippewa Fire Protection District Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CHIPPEWA FIRE PROTECTION DISTRICT INC.

Practice address

13143 30TH Ave
Chippewa Falls, WI 54729-7377

Phone

(715) 723-5488

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Scott Bernette

Title

Chief

Phone

(715) 723-5488

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Chippewa Fire District Doing business as

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1922051960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13143 30TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547297377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13143 30TH AVE",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547297377",
            "telephone_number": "715-723-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA FIRE PROTECTION DISTRICT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "BERNETTE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "715-723-5488"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "41345600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8182696",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41345600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI RENAL PROGRAM",
            "identifier": "41345600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000085983",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790268900",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "282309400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa Fire District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.