PITTSVILLE VOL FIRE DEPT INC NPI 1447201611

NPI Information

NPI: 1447201611
Provider Name: PITTSVILLE VOL FIRE DEPT INC

Doing Business As: PITTSVILLE FIRE DEPT AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
5388 4TH AVE
PITTSVILLE, WI
ZIP 54466
Phone: (715) 884-6514
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PITTSVILLE VOL FIRE DEPT INC is a land transport ambulance in Pittsville, WI. PITTSVILLE VOL FIRE DEPT INC NPI is 1447201611. The provider is registered as an organization entity type.
The provider Is Doing Business As Pittsville Fire Dept Ambulance Service.

The provider's business location address is:

5388 4TH AVE
PITTSVILLE, WI
ZIP 54466-342
Phone: (715) 884-6514

The provider's authorized official is Gerald Minor .
The authorized official title is Chief and has the following contact phone number (715) 884-6514.

The CLIA number assigned to this NPI record is 52D1055593 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 10/22/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========019	OTHER		BCBS
2	=========019	OTHER		MEDICARE BLUE MCHMO
3	590009453	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE
4	000088307	OTHER		ADVOCARE MC HMO
5	WI0101	OTHER		JOHN DEERE
6	000088307	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE
7	=========019	OTHER		VALLEY HEALTH PLAN
8	41341100	MEDICAID	WISCONSIN
9	=========001	MEDICAID	ILLINOIS
10	1012447	OTHER		PHYSICIAN'S PLUS
11	2165155-00	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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