City of de Pere

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001025 Issued in WI

Legal business name

CITY OF DE PERE

Doing business as

City of De Pere Ambulance Service

Practice address

400 Lewis St
De Pere, WI 54115-2717

Phone

(920) 339-4085

Fax

(920) 403-7883

NPI assigned

Oct 18, 2005

Organization subpart

Yes

Parent organization

CITY OF DE PEREAs reported in NPPES

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

Authorized official

Name

Mr. Dennis L. Rubin

Title

Fire Chief

Phone

(920) 339-4085

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• City of De Pere Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

City of de Pere

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• City of de Pere

  • Public Health or Welfare Agency
  • De Pere, WI
  • NPI 1376679233
  NPPES parent name

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1982693495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LEWIS ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152717",
            "telephone_number": "920-339-4085",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LEWIS ST",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541152717",
            "telephone_number": "920-339-4085",
            "fax_number": "920-403-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF DE PERE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF DE PERE",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "920-339-4085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41328800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0000083192",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of De Pere Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• City of de Pere
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• Land Ambulance in De Pere, WI
• Providers in De Pere, 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 22, 2025; 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.

Verify at the official NPI Registry.