BLOOMING GROVE BURKE MAPLE BLUFF EMS AMBULANCE DISTRICT NPI 1891747903

NPI Information

NPI: 1891747903
Provider Name: BLOOMING GROVE, BURKE, MAPLE BLUFF EMS AMBULANCE DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
18 OXFORD PL
MADISON, WI
ZIP 53704
Phone: (608) 244-3390
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BLOOMING GROVE, BURKE, MAPLE BLUFF EMS AMBULANCE DISTRICT is a land transport ambulance in Madison, WI. BLOOMING GROVE, BURKE, MAPLE BLUFF EMS AMBULANCE DISTRICT NPI is 1891747903. The provider is registered as an organization entity type.

The provider's business location address is:

18 OXFORD PL
MADISON, WI
ZIP 53704-955
Phone: (608) 244-3390

The provider's authorized official is Jon Englehart .
The authorized official title is Chief/director and has the following contact phone number (608) 244-3390.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 8/22/2020.

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	VNDR 531534	OTHER		DEANCARE MAHMO
2	41308700	OTHER	WISCONSIN	HIRSP
3	WI0101	OTHER		JOHN DEERE
4	1012155	OTHER		PHYSICIAN'S PLUS
5	41308700	MEDICAID	WISCONSIN
6	41308700	OTHER	WISCONSIN	WI CHRONIC DISEASE PROG

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: 4/28/2024

NPI Synchronization or Removal

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