Active NPI
City of Ashland
- Land Ambulance
- Ashland, WI
National Provider Identifier
1942207402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 6000349
- 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, 2010
- 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
- Mr. Wayne Chenier
- Title
- Fire Chief
- Phone
- (715) 682-7052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41329700 | Medicaid | WI | |
| 590011198 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101204000063 | WI | Part B Supplier - Ambulance Service Supplier | 3274720107 | Practice locations: Ashland, WI |
National Provider Directory
National Provider DirectoryLocations
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.