EDGAR VOLUNTEER FIRE DEPT NPI 1619003662

NPI Information

  • NPI: 1619003662
  • Provider Name: EDGAR VOLUNTEER FIRE DEPT
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 52D0988727
  • Address: 108 BEECH ST
    BOX 123
    EDGAR, WI
    ZIP 54426
  • Phone: (715) 352-2892

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NPI Details

EDGAR VOLUNTEER FIRE DEPT is a land transport ambulance in Edgar, WI. EDGAR VOLUNTEER FIRE DEPT NPI is 1619003662. The provider is registered as an organization entity type.

The provider's business location address is:

108 BEECH ST
BOX 123
EDGAR, WI
ZIP 54426-123
Phone: (715) 352-2892
Fax: (715) 352-2892

The provider's authorized official is Connie Halvorsen .
The authorized official title is Ems Billing Secretary and has the following contact phone number (531) 895-5853.

The CLIA number assigned to this NPI record is 52D0988727 - 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 2/26/2007 and was last updated on 10/15/2025.

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 Transport6000119WISCONSINYes

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
1000081761OTHERWISCONSINMEDICARE PROVIDER PTAN
23416L0300XOTHERWISCONSINMEDICAID TAXONOMY CODE
341327500MEDICAIDWISCONSIN

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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