Organization Active NPI

City of Ashland

  • Land Ambulance
  • Ashland, WI
National Provider Identifier
1942207402
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6000349 Issued in WI
Legal business name
CITY OF ASHLAND
Practice address
300 Stuntz Ave
Ashland, WI 54806-1952
Phone
(715) 682-7052
Fax
(715) 682-7903
NPI assigned
Jun 30, 2005
Last updated
Dec 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Authorized official

Name
Mr. Wayne Chenier
Title
Fire Chief
Phone
(715) 682-7052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6000349 WI Primary

Addresses

Primary practice location

300 Stuntz Ave
Ashland, WI 54806-1952

Mailing address

300 Stuntz Ave
Ashland, WI 54806-1952
Phone (715) 682-7052

Other identifiers 2

IdentifierTypeStateIssuer
41329700MedicaidWI
590011198OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101204000063 WI Part B Supplier - Ambulance Service Supplier 3274720107 Practice locations: Ashland, WI

National Provider Directory

National Provider Directory

Locations

215 6th St E
Ashland, WI 54806
Phone (715) 682-7052

601 Main St W
Ashland, WI 54806

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291334400000",
    "number": "1942207402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STUNTZ AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061952",
            "telephone_number": "715-682-7052",
            "fax_number": "715-682-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STUNTZ AVE",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548061952",
            "telephone_number": "715-682-7052",
            "fax_number": "715-682-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ASHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-12-03",
        "status": "A",
        "authorized_official_last_name": "CHENIER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "715-682-7052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41329700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011198",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; 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.