TOWN OF PLUM LAKE (NPI# 1376590208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376590208 |
| Entity Type | Organization |
| Organization Name | TOWN OF PLUM LAKE |
| Other Organization Name | TOWN OF PLUM LAKE AMBULANCE |
| Practice Address |
2616 State Road 155 Sayner WI 54560 |
| Mailing Address |
Po Box 7 Sayner WI 54560-0007 |
| Practice Telephone | 7153581176 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROGER WEBER (PRESIDENT) |
| Authorized Official Telephone | 7153581176 |
| 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 |
|---|---|---|---|
| HEALTH ALLIANCE | 006235 | 01 | |
| PHYSICIAN'S PLUS | 1028593 | 01 | |
| WI | 41309200 | 05 | |
| JOHN DEERE | WI0101 | 01 |
| Other Name | Type Code |
|---|---|
| Town of Plum Lake Ambulance | Doing Business As Name - Organization |
| Street Address |
2616 STATE ROAD 155 |
| City | SAYNER |
| State | WI |
| Zip Code | 54560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023176435 | Laura Jane Sima | Speech-Language Pathologist | 9002 Camp Highland Rd, Sagner, WI 54560 | 2006-12-05 |
| 1023115219 | Diane M Mansfield | Nurse Practitioner | 2801 Loon Ln, Sayner, WI 54560-9665 | 2006-09-20 |
| 1821698341 | Jaqualynne Postuchow | Home Health | 8739 Smith St, Sayner, WI 54560-9696 | 2020-10-26 |
| 1295174647 | Inner Circle Family Counseling | Clinic/Center | 8792 Smith St, Sayner, WI 54560-9697 | 2013-06-19 |
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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 |
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| 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.