VILLAGE OF CLEAR LAKE (NPI# 1528011657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528011657 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF CLEAR LAKE |
| Other Organization Name | CLEAR LAKE AREA AMBULANCE SERVICE |
| Practice Address |
457 3rd Ave Clear Lake WI 54005-8905 |
| Mailing Address |
Po Box 215 Clear Lake WI 54005-0215 |
| Practice Telephone | 7152632804 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JOY JACKSON (DIRECTOR) |
| Authorized Official Telephone | 7152632804 |
| 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 |
|---|---|---|---|
| MEDICA | 8182723 | 01 | |
| WI | 41328500 | 05 | |
| WI | HIRSP | 41328500 | 01 |
| Other Name | Type Code |
|---|---|
| Clear Lake Area Ambulance Service | Doing Business As Name - Organization |
| Street Address |
457 3RD AVE |
| City | CLEAR LAKE |
| State | WI |
| Zip Code | 54005-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043866460 | Northern Roots Family Spinal Care, LLC | Chiropractor | 470 3rd Ave, Clear Lake, WI 54005 | 2019-08-12 |
| 1689855355 | Deborah Sue Cuper | Physical Therapist | 417 3rd Ave., Clear Lake, WI 54005 | 2007-11-21 |
| 1952595480 | Kivlin Eye Clinic, Sc | Optometrist | 370 3rd Ave, Clear Lake, WI 54005 | 2007-08-28 |
| 1083722920 | Bradley Alvin Paulson | Chiropractor | 336 3rd Ave, Clear Lake, WI 54005 | 2006-08-29 |
| 1225042013 | Emily J Monson | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2006-07-28 |
| 1770134892 | Jolleen Mary Nichols | Nurse Practitioner | 357 Third Ave, Clear Lake, WI 54005 | 2019-09-20 |
| 1265721781 | Krista Anderson | Physical Therapy Assistant | 417 3rd Ave, Clear Lake, WI 54005 | 2011-04-05 |
| 1083845754 | Clear Lake Physical Therapy and Rehab Specialists LLC | Occupational Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2009-07-29 |
| 1063689487 | Erin Timm | Physical Therapist | 417 3rd Ave, Clear Lake, WI 54005 | 2008-05-14 |
| 1366878449 | Amery Regional Medical Center, Inc | Clinic/Center | 357 Third Ave, Clear Lake, WI 54005-0177 | 2013-09-19 |
| Find all providers in zip 54005 | ||||
| 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 |
|---|---|---|---|---|
| 1154342327 | City of Clear Lake City Clerk | Ambulance | 511 1st Ave N, Clear Lake, IA 50428-1801 | 2006-07-22 |
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| 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 | ||||
| City | CLEAR LAKE |
| Zip Code | 54005 |
Please comment or provide details below to improve the information on VILLAGE OF CLEAR LAKE.
| 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.