CLINTONVILLE AREA AMBULANCE SERVICE (NPI# 1962422303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962422303 |
Entity Type | Organization |
Organization Name | CLINTONVILLE AREA AMBULANCE SERVICE |
Practice Address |
16 N. Main Clintonville WI 54929 |
Mailing Address |
3 South Main P.o. Box 98 Clintonville WI 54929-0098 |
Practice Telephone | 7158235967 |
Practice Fax Number | 7158231379 |
Mailing Telephone | 7158235967 |
Mailing Fax Number | 7158231379 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2018-08-22 |
Authorized Official Name | MS. CAROL JEAN KERSTEN (DIRECTOR) |
Authorized Official Telephone | 7158235967 |
Authorized Official Credential | EMT-INTERMEDIATE |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 341600000X | Ambulance | 6001047 | WI | Transportation Services |
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6001047 | WI | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 41336000 | 05 |
Street Address |
16 N. MAIN |
City | CLINTONVILLE |
State | WI |
Zip Code | 54929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003045402 | Griebenow Eyecare, S.c. | Optometrist | 45 10th St., Clintonville, WI 54929 | 2009-07-07 |
1093835266 | William Henry Krueger | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-03-30 |
1255445680 | Leah K. Smejkal | Physical Therapist | 114 E. Greentree Road, Clintonville, WI 54929 | 2006-08-19 |
1649225970 | Jill I. Timm | Physical Therapist | 114 E Greentree Road, Clintonville, WI 54929 | 2006-05-24 |
1104242999 | Cloverleaf Healthcare, Inc. | Skilled Nursing Facility | 1625 E Main St, Clintonville, WI 54929 | 2014-03-17 |
1124286406 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 61 Anne St, Clintonville, WI 54929 | 2008-05-23 |
1174734289 | Samuel John Buckett | Chiropractor | E9180 Golf Club Road, Clintonville, WI 54929 | 2007-05-24 |
1811057961 | Karen Agnete Johnson | Dentist | 112 S Main Street, Clintonville, WI 54929 | 2006-12-11 |
1164509154 | Erickson Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8 S Main St, Clintonville, WI 54929 | 2006-11-01 |
1952503245 | Erin Ann Schley | Specialist | 70 W Green Tree Rd, Clintonville, WI 54929-1009 | 2007-05-31 |
Find all providers in zip 54929 |
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 | CLINTONVILLE |
Zip Code | 54929 |
Please comment or provide details below to improve the information on CLINTONVILLE AREA AMBULANCE SERVICE.
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.