Active NPI
Village of Richfield
Doing business as Richfield Fire Department
- Land Ambulance
- Hubertus, WI
National Provider Identifier
1952134231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF RICHFIELD
- Doing business as
- Richfield Fire Department
- Practice address
- 4166 Hubertus Rd
Hubertus, WI 53033-9719 - Phone
- (262) 628-1601
- Fax
- (262) 628-9350
- NPI assigned
- Aug 22, 2024
- Last updated
- Sep 25, 2024
- 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
- Dr. Gregory West, EDD
- Title
- Fire Chief
- Phone
- (262) 623-6739
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
4166 Hubertus Rd
Hubertus, WI 53033-9719
Mailing address
4166 Hubertus Rd
Hubertus, WI 53033-9719
Phone (262) 628-1601
Other names 1
- Richfield Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241114003208 | WI | Part B Supplier - Ambulance Service Supplier | 5193259083 | Practice locations: Hubertus, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0985964 | Village of Richfield | Certificate of waiver | May 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
4166 Hubertus Rd
Hubertus, WI 53033
Phone (262) 628-1601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727222400000",
"number": "1952134231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4166 HUBERTUS RD",
"city": "HUBERTUS",
"state": "WI",
"postal_code": "530339719",
"telephone_number": "262-628-1601",
"fax_number": "262-628-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4166 HUBERTUS RD",
"city": "HUBERTUS",
"state": "WI",
"postal_code": "530339719",
"telephone_number": "262-628-1601",
"fax_number": "262-628-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF RICHFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-22",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "262-623-6739",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Richfield Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hubertus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.