NPIMap

Organization Active NPI

Cross Plains Area Emergency Medical Services

  • Land Ambulance
  • Cross Plains, WI
National Provider Identifier
1922100171
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6001351 Issued in WI
Legal business name
CROSS PLAINS AREA EMERGENCY MEDICAL SERVICES
Practice address
2027 Park St
Cross Plains, WI 53528-9610
Phone
(608) 798-2720
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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

Authorized official

Name
Mr. David R Sulik
Title
Billing Manager
Phone
(262) 375-9610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X
Land Ambulance 3416L0300X 6001351 WI Primary

Addresses

Primary practice location

2027 Park St
Cross Plains, WI 53528-9610

Mailing address

PO Box 72140
Cedarburg, WI 53012-7340
Phone (262) 375-9610

Other identifiers 2

IdentifierTypeStateIssuer
41352200MedicaidWI
542284OtherWICOMMERCIAL

Other names 1

  • Cross Plains Area EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070612000109 WI Part B Supplier - Ambulance Service Supplier 6204934441 Practice locations: Cross Plains, WI

National Provider Directory

National Provider Directory
Tax ID family
Cross Plains Area EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1922100171",
    "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": "2027 PARK ST",
            "city": "CROSS PLAINS",
            "state": "WI",
            "postal_code": "535289610",
            "telephone_number": "608-798-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS PLAINS AREA EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "262-375-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41352200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "542284",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Plains Area EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cross Plains, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.