City of Kewaunee Wisconsin

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6001165 Issued in WI

Legal business name

CITY OF KEWAUNEE WISCONSIN

Doing business as

Kewaunee Area Ambulance

Practice address

401 5TH St
Kewaunee, WI 54216-1838

Phone

(920) 388-5000

Fax

(920) 388-5025

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Kranz

Title

City Administrator

Phone

(920) 388-5000

Specialties & licenses 2

Addresses

Other names 1

• Kewaunee Area Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1992866396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 5TH ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "54216",
            "telephone_number": "920-388-5000",
            "fax_number": "920-388-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 5TH ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161838",
            "telephone_number": "920-388-5000",
            "fax_number": "920-388-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF KEWAUNEE WISCONSIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "KRANZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CITY ADMINISTRATOR",
        "authorized_official_telephone_number": "920-388-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6001165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kewaunee Area Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Marie Burkart, MED, LPC
• Casco Family Chiropractic Clinic
• Matthew John Chaloupka
• Marie H Chapman, D.C.
• Michelle M Cherney, LCSW
• Charlene M Coenen, CAPSW
• Christopher Michael Coffey, BS SOCIOLOGY
• Kari Ann Cornelissen-Wied, D.C.
• County of Kewaunee
• County of Kewaunee

• Land Ambulance in Kewaunee, WI
• Providers in Kewaunee, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.