Dallas Area Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

600-1120 Issued in WI

Legal business name

DALLAS AREA AMBULANCE SERVICE

Practice address

115 E Brewster St
Prairie Farm, WI 54762-0122

Phone

(715) 455-2222

Fax

(715) 455-2223

NPI assigned

Dec 16, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Linda L Ambrose, EMT

Title

Director/Treasurer

Phone

(715) 455-2222

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1992008775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E BREWSTER ST",
            "city": "PRAIRIE FARM",
            "state": "WI",
            "postal_code": "547620122",
            "telephone_number": "715-455-2222",
            "fax_number": "715-455-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E BREWSTER ST",
            "city": "PRAIRIE FARM",
            "state": "WI",
            "postal_code": "547620122",
            "telephone_number": "715-455-2222",
            "fax_number": "715-455-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS AREA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "AMBROSE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR/TREASURER",
        "authorized_official_telephone_number": "715-455-2222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "600-1120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Bruder, LMT
• Clear Lake Physical Therapy and Rehab Specialists LLC
• Dallas Area Ambulance Service
• Adam Keapproth
• Erika Krzmarzick, COTA/L
• Tanya Leahy
• Barbara Jo Nigon
• School District of Prairie Farm

• Land Ambulance in Prairie Farm, WI
• Providers in Prairie Farm, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.