CITY OF RIPON NPI 1891798864

NPI Information

NPI: 1891798864
Provider Name: CITY OF RIPON

Doing Business As: RIPON GUARDIAN AMBULANCE SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
100 JACKSON ST
RIPON, WI
ZIP 54971
Phone: (920) 748-4926
Get Directions

CITY OF RIPON is a land transport ambulance in Ripon, WI. CITY OF RIPON NPI is 1891798864. The provider is registered as an organization entity type.
The provider Is Doing Business As Ripon Guardian Ambulance Service.

The provider's business location address is:

100 JACKSON ST
RIPON, WI
ZIP 54971-312
Phone: (920) 748-4926
Fax: (920) 748-6983

The provider's authorized official is Mitchell Matuszeski .
The authorized official title is Ems Chief and has the following contact phone number (920) 748-4904.

The CLIA number assigned to this NPI record is 52D0930694 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 1/3/2022.

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	341600000X	Ambulance		6001189	WISCONSIN	No
2	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	41306700	MEDICAID	WISCONSIN

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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