EAST TROY AREA EMERGENCY SERVICES DISTRICT NPI 1942257381

NPI Information

NPI: 1942257381
Provider Name: EAST TROY AREA EMERGENCY SERVICES DISTRICT
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 52D0986972

Address:
N8406 HWY ES
EAST TROY, WI
ZIP 53120
Phone: (262) 642-4495
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EAST TROY AREA EMERGENCY SERVICES DISTRICT is a land transport ambulance in East Troy, WI. EAST TROY AREA EMERGENCY SERVICES DISTRICT NPI is 1942257381. The provider is registered as an organization entity type.

The provider's business location address is:

N8406 HWY ES
EAST TROY, WI
ZIP 53120-163
Phone: (262) 642-4495
Fax: (262) 642-2050

The provider's authorized official is Dave Bitter .
The authorized official title is District Board Chairman and has the following contact phone number (262) 642-4495.

The CLIA number assigned to this NPI record is 52D0986972 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/30/2006 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	6000718	WISCONSIN	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	41331800	OTHER	WISCONSIN	H.I.R.S.P.
2	41331800	OTHER	WISCONSIN	WISCONSIN RENAL PROGRAM
3	41331800	MEDICAID	WISCONSIN
4	P00224238	OTHER	WISCONSIN	RAILROAD MEDICARE

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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