FOOTVILLE FIRE DEPT & EMS NPI 1003019704

NPI Information

  • NPI: 1003019704
  • Provider Name: FOOTVILLE FIRE DEPT & EMS
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 52D2164431
  • Address: 252 NORTH GILBERT STREET
    FOOTVILLE, WI
    ZIP 53537
  • Phone: (608) 876-6118

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NPI Details

FOOTVILLE FIRE DEPT & EMS is a land transport ambulance in Footville, WI. FOOTVILLE FIRE DEPT & EMS NPI is 1003019704. The provider is registered as an organization entity type.

The provider's business location address is:

252 NORTH GILBERT STREET
FOOTVILLE, WI
ZIP 53537-246
Phone: (608) 876-6118

The provider's authorized official is Dan Jacobs .
The authorized official title is Fire Chief and has the following contact phone number (608) 876-6118.

The CLIA number assigned to this NPI record is 52D2164431 - ambulance with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)

The enumeration date for this NPI number is 6/8/2007 and was last updated on 3/18/2009.

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
13416L0300XAmbulanceLand TransportYes

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
141350800MEDICAIDWISCONSIN
2000085962MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
3000085962MEDICARE PINWISCONSIN
4000083053MEDICARE PINWISCONSIN

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: 11/21/2025

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