JOHNSON CREEK FIRE EMS DEPT. (NPI# 1609933001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609933001 |
Entity Type | Organization |
Organization Name | JOHNSON CREEK FIRE EMS DEPT. |
Practice Address |
125 Depot St. Johnson Creek WI 53038-0451 |
Practice Telephone | 9206992296 |
Enumeration Date | 2007-01-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | PAUL MODERACKI (VILLAGE ADMINISTRATOR) |
Authorized Official Telephone | 9206992296 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
6001180 | WI | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 41307600 | 05 |
Street Address |
125 DEPOT ST. |
City | JOHNSON CREEK |
State | WI |
Zip Code | 53038-0451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427540863 | Spencer Agnew | Physical Therapist | 540 Village Walk Ln Ste E, Johnson Creek, WI 53038 | 2018-06-01 |
1326345166 | Crossroads Chiropractic Johnson Creek LLC | Chiropractor | 545 Village Walk Ln, Suite C, Johnson Creek, WI 53038 | 2011-02-14 |
1164727962 | Kimberly D Turner | Chiropractor | 545 Village Walk Lane, Suite C, Johnson Creek, WI 53038 | 2011-01-26 |
1164756110 | Dousman Chiropractic Clinic Sc | Chiropractor | W4489 Ambrose Rd, Johnson Creek, WI 53038 | 2009-09-23 |
1871653246 | Daniel A Harvey | Dentist | 113 Depot St, Johnson Creek, WI 53038 | 2006-12-08 |
1225124571 | Johnson Creek Dental | Dentist | 540 Village Walk Lane, Suite E, Johnson Creek, WI 53038 | 2006-10-05 |
1043757073 | Lyndsey Webster | Speech-Language Pathologist | 435 Hillary Cir Apt D, Johnson Creek, WI 53038-9308 | 2017-01-29 |
1932608643 | Johnson Creek Counseling & Wellness Center LLC | Clinic/Center | 520 Hartwig Blvd, Johnson Creek, WI 53038-9314 | 2018-02-08 |
1578530705 | Michael E Eastman | Internal Medicine | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2006-03-07 |
1861711822 | Jessica Moore Schuster | Radiology | 250 Doctors Ct, Johnson Creek, WI 53038-9451 | 2010-05-28 |
Find all providers in zip 53038 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528172905 | Village of Johnson Creek | Ambulance | 120 S Watertown St, Johnson Creek, WI 53038-9510 | 2006-08-19 |
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1033604061 | Town of St. Germain | Ambulance | 553 State Highway 155, St. Germain, WI 54558 | 2018-06-22 |
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 |
City | JOHNSON CREEK |
Zip Code | 53038 |
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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.