Organization Active NPI

Chippewa Fire Protection District Inc.

Doing business as Chippewa Fire District

  • Land Ambulance
  • Chippewa Falls, WI
National Provider Identifier
1922051960
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHIPPEWA FIRE PROTECTION DISTRICT INC.
Doing business as
Chippewa Fire District
Practice address
13143 30TH Ave
Chippewa Falls, WI 54729-7377
Phone
(715) 723-5488
NPI assigned
May 19, 2006
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13143 30TH Ave
Chippewa Falls, WI 54729-7377

Mailing address

13143 30TH Ave
Chippewa Falls, WI 54729-7377

Other names 1

  • Chippewa Fire District Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060505000636 WI Part B Supplier - Ambulance Service Supplier 8426069485 Practice locations: Chippewa Falls, WI

National Provider Directory

National Provider Directory

Locations

13140 30th Ave
Chippewa Falls, WI 54729
Phone (715) 723-9020

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chippewa Fire District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chippewa Falls, WI

Sources for this page

  • 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.