City Of De Pere Ambulance Service

LBN: City Of De Pere
City Of De Pere Ambulance Service is an health care organization with primary practice located at 400 Lewis St , De Pere WI 54115-2717. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. City Of De Pere can be contacted via phone (920) 339-4085, or through Rubin, Dennis L. via phone (920) 339-4085.

Contact Information

Primary practice address
400 Lewis St De Pere WI 54115-2717
Fax: (920) 403-7883
Website:
Authorized official contact:
Name: Rubin, Dennis L.

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 6001025 Wisconsin

Profile Details

NPI number 1982693495
LBN Legal business name City Of De Pere
DBA Doing business as City Of De Pere Ambulance Service
Authorized official Rubin, Dennis L.
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 18th, 2005
Last updated Oct 26th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982693495 NPPES
Wisconsin MEDICAID 41328800
Wisconsin Other 0000083192

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