Village of Menomonee Falls

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000480 Issued in WI

Legal business name

VILLAGE OF MENOMONEE FALLS

Doing business as

Menomonee Falls Fire Department

Practice address

W140N7501 Lilly Rd
Menomonee Falls, WI 53051-4609

Phone

(262) 532-8823

Fax

(262) 532-8829

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Nicholas Boehlke

Title

EMS Chief

Phone

(262) 532-8804

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Menomonee Falls Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Tax ID family

Menomonee Falls2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Menomonee Falls

  • Land Ambulance
  • Menomonee Falls, WI
  • NPI 1578677977
  NPD tax ID

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758931200000",
    "number": "1972679132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900547",
            "telephone_number": "847-577-8811",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W140N7501 LILLY RD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514609",
            "telephone_number": "262-532-8823",
            "fax_number": "262-532-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF MENOMONEE FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-27",
        "certification_date": "2025-09-27",
        "status": "A",
        "authorized_official_last_name": "BOEHLKE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "262-532-8804"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR OWCP",
            "identifier": "218477800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41312500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menomonee Falls Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jesse Vitch, AA

• Land Ambulance in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2025; 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.