VILLAGE OF MINONG (NPI# 1235346297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235346297 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF MINONG |
| Other Organization Name | MINONG AREA AMBULANCE SERVICE |
| Practice Address |
123 5th Ave E Minong WI 54859-9541 |
| Mailing Address |
Po Box 166 123 5th Avenue Minong WI 54859-0166 |
| Practice Telephone | 7154662322 |
| Mailing Telephone | 7154662322 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | DENISE M WAGGONER (BOOKKEEPER) |
| Authorized Official Telephone | 7154662322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
6000164 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41332400 | 05 |
| Other Name | Type Code |
|---|---|
| Minong Area Ambulance Service | Doing Business As Name - Organization |
| Street Address |
123 5TH AVE E |
| City | MINONG |
| State | WI |
| Zip Code | 54859-9541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649367509 | Dodson W Thompson | Emergency Medicine | 600 W Shell Creek Road, Minong, WI 54859 | 2006-10-10 |
| 1871528083 | Heather L Runge | Physician Assistant | 600 W Shell Creek Rd, Minong, WI 54859-9145 | 2006-07-12 |
| 1760487722 | Frederick D Kosmach | Physician Assistant | 600 W Shell Creek Rd, Minong, WI 54859-9302 | 2005-06-16 |
| 1518306893 | The Lakes Community Health Center, Inc | Pharmacy | 600 W Shell Creek Rd, Minong, WI 54859-9302 | 2013-06-19 |
| 1952747610 | Orthopedic & Spine Therapy of Poplar Sc | Physical Therapist | 600 W Shell Creek Rd, Minong, WI 54859-9302 | 2013-05-21 |
| 1083961163 | The Lakes Community Health Center, Inc | Clinic/Center | 600 W Shell Creek Rd, Minong, WI 54859-9302 | 2012-08-08 |
| 1386833051 | Michael Mccusker | Physical Therapist | 600 W Shell Creek Rd, Suite 2, Minong, WI 54859-9302 | 2007-10-18 |
| 1104005800 | Northwood School District | Local Education Agency (LEA) | N14463 Highway 53, Minong, WI 54859-9483 | 2007-10-30 |
| 1033585104 | Shauna Wallace | Occupational Therapy Assistant | N14463 Highway 53, Minong, WI 54859-9483 | 2015-08-12 |
| 1912237389 | Rebecca Keith | Registered Nurse | 312 Business 53 Ste 7, Minong, WI 54859-9550 | 2010-01-07 |
| Find all providers in zip 54859 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104138882 | The Doc At Your Door,llc | Clinic/Center | N9554 Highline Rd, Kaukauna, WI 54130-8502 | 2010-07-09 |
| 1205821584 | Hatley Area Fire & Ambulance District | Clinic/Center | 310 Clark St, Hatley, WI 54440-8704 | 2005-09-13 |
| 1851386171 | Village of Wittenberg Dba Wittenberg Area Ambulance Service | Clinic/Center | 405 South Webb Street, Wittenberg, WI 54499 | 2005-09-13 |
| 1922271998 | Baycare Aurora, LLC | Clinic/Center | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2008-04-10 |
| 1649309865 | Lakeview Medical Center Inc of Rice Lake | Clinic/Center | 1100 N Main St, Rice Lake, WI 54868-1238 | 2007-03-05 |
| 1710088406 | Watertown Emergency Physicians, S.c. | Clinic/Center | 125 Hospital Dr, Watertown, WI 53098-3303 | 2006-09-26 |
| 1639273378 | Holy Family Memorial Inc | Clinic/Center | 2300 Western Ave, Manitowoc, WI 54220-3712 | 2006-09-12 |
| 1700817079 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-07-05 |
| 1083657886 | St. Mary's Hospital of Superior | Clinic/Center | 3500 Tower Ave, Superior, WI 54880-5335 | 2006-06-13 |
Please comment or provide details below to improve the information on VILLAGE OF MINONG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.