CITY OF KENOSHA (NPI# 1447308606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447308606 |
| Entity Type | Organization |
| Organization Name | CITY OF KENOSHA |
| Other Organization Name | CITY OF KENOSHA AMBULANCE |
| Practice Address |
4810 60th St Kenosha WI 53144-2451 |
| Practice Telephone | 2626534097 |
| Practice Fax Number | 2626534107 |
| Mailing Telephone | 2626534097 |
| Mailing Fax Number | 2626534107 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. JAMES POLTROCK (DIVISION CHIEF OF EMS) |
| Authorized Official Telephone | 2626534097 |
| Is Organization Subpart | Y |
| Parent Organization Name | CITY OF KENOSHA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6000422 | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE RAILROAD | 590005740 | 01 |
| Other Name | Type Code |
|---|---|
| City of Kenosha Ambulance | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 625 52nd St, Kenosha, WI 531403480 | 2626534100 | 2626534107 |
| Street Address |
4810 60TH ST |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154471332 | Ljh Ambulance, Inc | Ambulance | 6329 28th Ave, Kenosha, WI 53143 | 2007-01-11 |
| 1366817678 | Village of Somers | Ambulance | 7511 12th St, Kenosha, WI 53144-7220 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812041 | Village of Camp Douglas | Ambulance | 304 Center St, Camp Douglas, WI 54618-2800 | 2019-10-17 |
| 1053952614 | Focus Transport | Ambulance | 5319 N 118th Ct, Milwaukee, WI 53225-3085 | 2019-10-04 |
| 1033604061 | Town of St. Germain | Ambulance | 553 State Highway 155, St. Germain, WI 54558 | 2018-06-22 |
| 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 | ||||
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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.