Village of Sturtevant
Organization Active NPI Land Ambulance · Sturtevant, WI
NPI 1972557445 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1972557445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 6000378 (WI)
- Legal business name
- VILLAGE OF STURTEVANT
- Practice address
- 2801 89TH St
Sturtevant, WI 53177-2033 - Phone
- (262) 886-7224
- Fax
- (262) 886-7212
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Arthur M. Scola
- Title
- Director of Public Safety
- Phone
- (262) 886-7224
National Provider Directory
Locations
2801 89th St
Sturtevant, WI 53177
Phone (262) 886-7208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6000378 | WI | Yes |
Addresses
Primary practice location
2801 89TH St
Sturtevant, WI 53177-2033
Mailing address
2801 89TH St
Sturtevant, WI 53177-2033
Phone (262) 886-7224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41354100 | Medicaid | WI |
Other names
- Sturtevant Public Safety
NPI Registry JSON
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972557445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 89TH ST",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "531772033",
"telephone_number": "262-886-7224",
"fax_number": "262-886-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 89TH ST",
"city": "STURTEVANT",
"state": "WI",
"postal_code": "531772033",
"telephone_number": "262-886-7224",
"fax_number": "262-886-7212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF STURTEVANT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCOLA",
"authorized_official_first_name": "ARTHUR",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DIRECTOR OF PUBLIC SAFETY",
"authorized_official_telephone_number": "262-886-7224",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WI",
"license": "6000378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41354100",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sturtevant Public Safety",
"code": "5",
"type": "Other Name"
}
]
}
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All providers in Sturtevant, WI · Land Ambulance in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.