SHAWANO AMBULANCE SERVICE, INC. (NPI# 1730136391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730136391 |
| Entity Type | Organization |
| Organization Name | SHAWANO AMBULANCE SERVICE, INC. |
| Practice Address |
220 N Main St Shawano WI 54166-2144 |
| Mailing Address |
Po Box 375 Shawano WI 54166-0375 |
| Practice Telephone | 7155242036 |
| Practice Fax Number | 7155243292 |
| Mailing Telephone | 7155242036 |
| Mailing Fax Number | 7155243292 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2020-05-19 |
| Authorized Official Name | PATRICK A. TRINKO (DIRECTOR) |
| Authorized Official Telephone | 7155242036 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 6000338 | WI | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41330700 | 05 |
| Street Address |
220 N MAIN ST |
| City | SHAWANO |
| State | WI |
| Zip Code | 54166-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134641848 | Nicole Jeannine Klotzbuecher | Optometrist | 150 County Road B, Shawano, WI 54166 | 2017-07-13 |
| 1437605714 | Jennifer Marie Franke | Counselor | 504 Lakeland St, Shawano, WI 54166 | 2016-08-28 |
| 1699017913 | Benjamin D Schlais | Family Medicine | 100 County Hwy B, Shawano, WI 54166 | 2013-03-25 |
| 1154574366 | Luke T Johnson | Speech-Language Pathologist | N3684 River Road, Shawano, WI 54166 | 2008-10-31 |
| 1902054315 | Robert Joseph Bohr Jr. | Physical Therapy Assistant | N6590 Fox Lane, Shawano, WI 54166 | 2008-08-28 |
| 1790945863 | Patricia Rae Ainsworth | Physical Therapist | 1436 South Lincoln Street, Shawano, WI 54166 | 2008-06-12 |
| 1649491820 | Shawano-gresham School District | Local Education Agency (LEA) | 1050 South Union Street, Shawano, WI 54166 | 2007-05-02 |
| 1114043387 | Thomas G Peterson | Optometrist | 150a County Road B, Shawano, WI 54166 | 2007-03-21 |
| 1740343086 | John Milton Dovorany | Dentist | 1488 E Green Bay St, Shawano, WI 54166 | 2006-12-18 |
| 1265526305 | Charles E Lamarche | Counselor | 420 E Green Bay St, Ste 201, Shawano, WI 54166 | 2006-10-03 |
| Find all providers in zip 54166 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992055925 | Kent L Perkins | Emergency Medical Technician, Paramedic | 4262 N 89th St, Milwaukee, WI 53222-1759 | 2012-09-18 |
| 1225342504 | Victor Cronce | Emergency Medical Technician, Paramedic | 5139 Hwy 66, Stevens Point, WI 54482 | 2010-07-29 |
| 1932413242 | Rebecca Lynn Wolfe | Emergency Medical Technician, Paramedic | 109 Keane St, Ridgeway, WI 53582-9784 | 2010-07-28 |
| 1326161340 | City of Beloit | Emergency Medical Technician, Paramedic | 1111 Church Street, Beloit, WI 53511 | 2007-04-06 |
| 1487783361 | City of Milwaukee | Emergency Medical Technician, Paramedic | 711 W Wells St, Milwaukee, WI 53233-1403 | 2007-03-05 |
| 1396892451 | Milwaukee County Oem-ems | Emergency Medical Technician, Paramedic | 901 N 9th St, Milwaukee, WI 53233-1425 | 2007-01-04 |
| 1316005978 | City of Janesville | Emergency Medical Technician, Paramedic | 18 N Jackson St, Janesville, WI 53548 | 2006-12-05 |
| 1295765907 | Waupaca Area Ambulance, Ltd. | Emergency Medical Technician, Paramedic | 500 County Road K, Waupaca, WI 54981-2300 | 2006-07-05 |
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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.