NPIMap

Organization Active NPI

Kendall Area Ambulance Service

  • Ambulance
  • Kendall, WI
National Provider Identifier
1962539627
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
60944 Issued in WI
Legal business name
KENDALL AREA AMBULANCE SERVICE
Practice address
120 E South Railroad Street
Kendall, WI 54638
Phone
(608) 463-7124
Fax
(608) 463-7237
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Susan Oliver
Title
Clerk-Treasurer
Phone
(608) 463-7124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 60944 WI Primary

Addresses

Primary practice location

120 E South Railroad Street
Kendall, WI 54638

Mailing address

PO Box 216
219 W South Railroad Street
Kendall, WI 54638-0216
Phone (608) 463-7124

Other identifiers 1

IdentifierTypeStateIssuer
41340700MedicaidWI

National Provider Directory

National Provider Directory

Locations

219 W South Railroad St
Kendall, WI 54638

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1962539627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "address_2": "219 W SOUTH RAILROAD STREET",
            "city": "KENDALL",
            "state": "WI",
            "postal_code": "546380216",
            "telephone_number": "608-463-7124",
            "fax_number": "608-463-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E SOUTH RAILROAD STREET",
            "city": "KENDALL",
            "state": "WI",
            "postal_code": "54638",
            "telephone_number": "608-463-7124",
            "fax_number": "608-463-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDALL AREA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CLERK-TREASURER",
        "authorized_official_telephone_number": "608-463-7124"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "60944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41340700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.