{"npi":"1619003662","type":"NPI-2","status":"active","name":{"display":"Edgar Volunteer Fire Dept","other":[],"organization_name":"EDGAR VOLUNTEER FIRE DEPT","authorised_official":"Connie Halvorsen"},"specialty":{"primary_taxonomy":"3416L0300X","primary_taxonomy_description":"Land Ambulance","slug":"land-ambulance","schema_org_specialty":null,"all":[{"code":"3416L0300X","description":"Land Ambulance","primary":true,"state":"WI","license":"6000119"}]},"addresses":[{"purpose":"LOCATION","street_1":"108 BEECH ST","city":"EDGAR","state":"WI","postal_code":"544260123","country_code":"US","street_2":"BOX 123","phone":"7153522892","fax":"7153522892"},{"purpose":"MAILING","street_1":"10802 FARNAM DR","city":"OMAHA","state":"NE","postal_code":"681543237","country_code":"US","phone":"5318955853","fax":"8773430131"}],"license":{"state":"WI","number":"6000119"},"identifiers":[{"type_code":"01","label":"Other","value":"000081761","state":"WI","issuer":"MEDICARE PROVIDER PTAN"},{"type_code":"01","label":"Other","value":"3416L0300X","state":"WI","issuer":"MEDICAID TAXONOMY CODE"},{"type_code":"05","label":"Medicaid","value":"41327500","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070522000543","type_code":"12-59","type_desc":"PART B SUPPLIER - AMBULANCE SERVICE SUPPLIER","state":"WI","pac_id":"4284731415"}]},"enumeration_date":"2007-02-26","last_updated":"2025-10-15","_meta":{"source":"NPPES","snapshot_date":"2025-10-15","doc_url":"https://findmynpi.com/api"}}