City of Watertown

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF WATERTOWN

Practice address

106 Jones St
Watertown, WI 53094-3737

Phone

(262) 261-3610

NPI assigned

May 12, 2006

Organization subpart

No

Name

Andrea Peters

Title

Administrative Assistant

Phone

(920) 261-3610

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• City of Watertown

  • Public Health or Welfare Agency
  • Watertown, WI
  • NPI 1063685071

  9335120864

  Same PAC ID

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• City of Watertown

  • Public Health or Welfare Agency
  • Watertown, WI
  • NPI 1063685071
  NPPES parent name

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

• City of Watertown

  • Public Health or Welfare Agency
  • Watertown, WI
  • NPI 1063685071
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Frances Quest, RN

  • Community Health Registered Nurse
  • Watertown, WI
  • NPI 1679728638
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in WI

Tax ID family

Watertown DPT Pub HLTH (2 organizations share this tax ID)

Locations

• Watertown Fire Department Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2024.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1992756282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530940477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JONES ST",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530943737",
            "telephone_number": "262-261-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WATERTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "920-261-3610"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertown Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Cera, L.AC. MSOM
• Cynthia Marie Chartier, LPN
• Debra Christensen
• Sarah Christian
• City of Watertown
• Claris Eyecare LLC
• Patricia M Clark, OTR
• Tammy Lee Clarkjorgensen, LPN
• Bruce J Cochrane, M.D.
• Comprehensive Cardiovascular Care, LLP

• All providers in Watertown, WI
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.