VILLAGE OF WATERFORD (NPI# 1952445918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952445918 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF WATERFORD |
| Other Organization Name | WATERFORD RESCUE |
| Practice Address |
122 N 2nd St Waterford WI 53185-4314 |
| Mailing Address |
123 N River St Waterford WI 53185-4149 |
| Practice Telephone | 2623759610 |
| Practice Fax Number | 2623759608 |
| Mailing Telephone | 2623759610 |
| Mailing Fax Number | 2623759608 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | REBECCA EWALD (VILLAGE ADMINISTRATOR) |
| Authorized Official Telephone | 2625347912 |
| 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 | 70010500 | 05 |
| Other Name | Type Code |
|---|---|
| Waterford Rescue | Doing Business As Name - Organization |
| Street Address |
122 N 2ND ST |
| City | WATERFORD |
| State | WI |
| Zip Code | 53185-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649755695 | Alyssa Jane Revolinski | Respite Care | 269435 S Elm Lane, Waterford, WI 53185 | 2018-09-26 |
| 1871973370 | Julie Minikowski | Community Health Worker | 207 Milwaukee Avenue, A, Waterford, WI 53185 | 2015-06-01 |
| 1629235031 | Fluegge Optical | Technician/Technologist | 920 E Main Street, Waterford, WI 53185 | 2008-05-22 |
| 1659598209 | Julie Michals | Occupational Therapist | 1701 Sharp Road, Waterford, WI 53185 | 2007-04-18 |
| 1518072768 | Jennifer Jayne Decker | Family Medicine | 818 Forrest Ln, Waterford, WI 53185 | 2006-08-20 |
| 1215966908 | Amy Beth Flock | Physical Therapy Assistant | 2319 Fox Knoll Dr, Waterford, WI 53185 | 2006-07-03 |
| 1750762472 | Tesalia R Renteria | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2015-06-18 |
| 1649651092 | Kathryn C Halyko | Pediatrics | 818 Forest Ln, Waterford, WI 53185 | 2015-06-11 |
| 1518109735 | Daniel A Allison | Family Medicine | 818 Forest Ln, Waterford, WI 53185 | 2009-04-02 |
| 1811178478 | Daniel Mark Gifford | Speech-Language Pathologist | 1701 Sharp Rd, Lakeview Specialty Hospital, Waterford, WI 53185 | 2007-11-23 |
| Find all providers in zip 53185 | ||||
| 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 |
|---|---|---|---|---|
| 1467425652 | Waterford Ambulance Service, Inc | Ambulance | 204 Boston Post Rd, Waterford, CT 06385-2819 | 2006-02-09 |
| 1427037779 | Stancliff Hose Company | Ambulance | 328 High St, Waterford, PA 16441-8310 | 2006-01-14 |
| 1396726873 | Lakeview Neurorehab Center Midwest, Inc | Ambulance | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2005-11-10 |
| 1033460936 | Lakeview Neurorehab Center Midwest, Inc. | Ambulance | 1701 Sharp Rd, Waterford, WI 53185-5214 | 2012-10-02 |
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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 | ||||
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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.