VILLAGE OF BALDWIN (NPI# 1538114079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538114079 |
| Entity Type | Organization |
| Organization Name | VILLAGE OF BALDWIN |
| Other Organization Name | BALDWIN AMBULANCE SERVICE |
| Practice Address |
630 Highway 12 Baldwin WI 54002 |
| Mailing Address |
Po Box 138 Baldwin WI 54002-0138 |
| Practice Telephone | 7156843188 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | TOM BOYER (CHIEF) |
| Authorized Official Telephone | 7156843188 |
| 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 |
|---|---|---|---|
| PREFERRED ONE | 7047384 | 01 | |
| PHYSICIAN'S PLUS | 1037070 | 01 | |
| WI | 41332600 | 05 | |
| MN | 397267400 | 05 | |
| WI | HIRSP | 41332600 | 01 |
| RAILROAD MEDICARE | 590156514 | 01 | |
| MEDICA | 8180302 | 01 | |
| JOHN DEERE | WI0100 | 01 | |
| ADVOCARE MCHMO | 000083953 | 01 |
| Other Name | Type Code |
|---|---|
| Baldwin Ambulance Service | Doing Business As Name - Organization |
| Street Address |
630 HIGHWAY 12 |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| 1730446477 | Brittany Beeson | Family Medicine | 1100 Bergslien St, Baldwin, WI 54002 | 2012-04-19 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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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.