CROSS PLAINS AREA EMERGENCY MEDICAL SERVICES (NPI# 1922100171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922100171 |
Entity Type | Organization |
Organization Name | CROSS PLAINS AREA EMERGENCY MEDICAL SERVICES |
Other Organization Name | CROSS PLAINS AREA EMS |
Practice Address |
2027 Park St Cross Plains WI 53528-9610 |
Mailing Address |
Po Box 72140 Cedarburg WI 53012-7340 |
Practice Telephone | 6087982720 |
Mailing Telephone | 2623759610 |
Mailing Fax Number | 2623759608 |
Enumeration Date | 2006-09-01 |
Last Update Date | 2018-04-02 |
Authorized Official Name | MR. DAVID R SULIK (BILLING MANAGER) |
Authorized Official Telephone | 2623759610 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6001351 | WI | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | COMMERCIAL | 542284 | 01 |
WI | 41352200 | 05 |
Other Name | Type Code |
---|---|
Cross Plains Area EMS | Doing Business As Name - Organization |
Street Address |
2027 PARK ST |
City | CROSS PLAINS |
State | WI |
Zip Code | 53528-9610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447250428 | Cross Plains Area Emergency Medical Service | Emergency Medical Technician, Basic | 2027 Park St, Cross Plains, WI 53528-9610 | 2005-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932366523 | Kay Marie Bille | Speech-Language Pathologist | N 3150 Hwy 81, Pleasant View Nursing Home, Cross Plains, WI 53528 | 2008-05-21 |
1306011655 | Mary Beth Johnson | Occupational Therapist | 7880 Serene Court, Cross Plains, WI 53528 | 2008-04-28 |
1003824095 | Theresa E Rudy | Licensed Practical Nurse | 8837 Scheele Road, Cross Plains, WI 53528 | 2006-08-04 |
1871561936 | Amy R Grelle | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
1821063736 | Amy Denise Halanski | Pediatrics | 4328 Deer Run Ct, Cross Plains, WI 53528 | 2006-02-22 |
1952379034 | Pamela A Olson | Family Medicine | 2418 Brewery Rd, Cross Plains, WI 53528 | 2006-03-14 |
1487622973 | Allen D Wilson | Pediatrics | 7966 Maurer Rd, Cross Plains, WI 53528-8801 | 2006-03-09 |
1477603371 | Jessica Ann Cooney | Physical Therapist | 1132 Gils Way, Cross Plains, WI 53528-8833 | 2007-01-11 |
1407169139 | Kristene Utter | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-07-22 |
1285948869 | Heidi Jean Hargis | Registered Nurse | 1248 Gils Way, Cross Plains, WI 53528-8834 | 2010-08-05 |
Find all providers in zip 53528 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | CROSS PLAINS |
Zip Code | 53528 |
Please comment or provide details below to improve the information on CROSS PLAINS AREA EMERGENCY MEDICAL SERVICES.
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.