VILLAGE OF CAMPBELLSPORT (NPI# 1265546600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265546600 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF CAMPBELLSPORT |
| Other Organization Name | CAMPBELLSPORT VOL FIRE DEPT |
| Practice Address |
548 E Main St Campbellsport WI 53010 |
| Mailing Address |
Po Box 72140 Cedarburg WI 53012-7340 |
| Practice Telephone | 9205335266 |
| Mailing Telephone | 2623759610 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-10-10 |
| Authorized Official Name | MR. DAVID SULIK (BILLING MANAGER) |
| Authorized Official Telephone | 2623759610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41327600 | 05 |
| Other Name | Type Code |
|---|---|
| CAMPBELLSPORT VOL FIRE DEPT | Doing Business As Name - Organization |
| Street Address |
548 E MAIN ST |
| City | CAMPBELLSPORT |
| State | WI |
| Zip Code | 53010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962763904 | Amanda Marie Murphy | Licensed Practical Nurse | W3617 Saint Kilian Drive, Campbellsport, WI 53010 | 2012-06-06 |
| 1144513110 | Trisha Jo Pieper | Registered Nurse | W2789 Cty Rd F, Campbellsport, WI 53010 | 2011-05-24 |
| 1154557817 | Schlaefer Optometrists | Clinic/Center | 128 W Main St., Campbellsport, WI 53010 | 2009-06-08 |
| 1639237019 | Aurora Pharmacy, Inc. | Pharmacy | 470 Grand View Avenue, Suite 1, Campbellsport, WI 53010 | 2006-12-05 |
| 1083627491 | Jeanne Marie Russart | Licensed Practical Nurse | N1495 Willow Lane, Jeanne Russart, Campbellsport, WI 53010 | 2006-08-15 |
| 1275675217 | Consultants Laboratory of Wi, LLC | Clinical Medical Laboratory | 350 E Sheboygan St, Campbellsport, WI 53010 | 2007-02-13 |
| 1881784932 | Dean William Uelmen | Dentist | 206 N Helena St., Campbellsport, WI 53010-0609 | 2006-10-12 |
| 1972649952 | Ronald Moos | Dentist | 130 N Fond Du Lac Ave, Campbellsport, WI 53010-0739 | 2007-01-29 |
| 1114327822 | Kathleen Diane Depies | Registered Nurse | N4539 Mulletview Rd, Campbellsport, WI 53010-1442 | 2014-08-29 |
| 1487272977 | Sara Elizabeth Flitter | Dietitian, Registered | W437 Clement Cir, Campbellsport, WI 53010-1846 | 2020-07-10 |
| Find all providers in zip 53010 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 1972093706 | City of Fort Atkinson | Ambulance | 124 Milwaukee Ave W, Fort Atkinson, WI 53538 | 2018-05-17 |
| 1225536527 | Town of Long Lake | Ambulance | 3348 Wisconsin 139, Long Lake, WI 54542 | 2018-02-01 |
| 1750815619 | Boyceville Community Ambulance District | Ambulance | 504 Race St, Boyceville, WI 54725-7521 | 2017-04-18 |
| 1417492711 | Riverside Fire District | Ambulance | 1325 Schofield Ave, Schofield, WI 54476-2302 | 2016-12-23 |
| 1588106199 | Meda Care Ambulance Service, LLC | Ambulance | 535 S 92nd St, Milwaukee, WI 53214-1256 | 2016-11-14 |
| 1881044964 | Central Fire & Ems District | Ambulance | 112 W Spruce St, Abbotsford, WI 54405-9734 | 2016-06-20 |
| 1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSPORT |
| Zip Code | 53010 |
Please comment or provide details below to improve the information on VILLAGE OF CAMPBELLSPORT.
| 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.