Organization Active NPI

Xtreme Care LLC

  • Ambulance
  • Green Lake, WI
National Provider Identifier
1992960413
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
6600147 Issued in WI
Legal business name
XTREME CARE LLC
Practice address
W1662 North St
Green Lake, WI 54941-9029
Phone
(920) 960-2138
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dennis Caywood
Title
Manager
Phone
(920) 960-2138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 6600147 WI Primary

Addresses

Primary practice location

W1662 North St
Green Lake, WI 54941-9029

Mailing address

241 E Follett St
Fond Du Lac, WI 54935-3542
Phone (920) 960-2138

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1992960413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 E FOLLETT ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353542",
            "telephone_number": "920-960-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1662 NORTH ST",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549419029",
            "telephone_number": "920-960-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CAYWOOD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "920-960-2138"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6600147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.