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FOOTVILLE FIRE DEPT & EMS
NPI 1003019704
Ambulance - Land Transport in Footville, WI

Active since June 08, 2007CLIA 52D2164431 · Waiver
252 NORTH GILBERT STREET, FOOTVILLE, WI 53537(608) 876-6118 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Footville Fire Dept & Ems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOTVILLE FIRE DEPT & EMS (NPI 1003019704) is a healthcare organization registered as a land transport in Footville, Wisconsin and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Randi Mielke, Captain, as its authorized official.

NPPES Registry Identity

NPI1003019704
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameFOOTVILLE FIRE DEPT & EMS
Location Address252 NORTH GILBERT STREETFootville, WI 53537-0246
Mailing AddressPo Box 246Footville, WI 53537-0246 · (608) 876-6118
Phone(608) 876-6118
Organization SubpartNo
Authorized OfficialRandi MielkeCaptain · (608) 876-6118
Enumeration DateJune 8, 2007
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1003019704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
252 NORTH GILBERT STREET, Footville, WI 53537
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Other Identifiers 1

Medicaid41350800WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2164431

Footville Fire Dept & Ems · Footville, WI
Active · expires Apr 3, 2027
CLIA Number52D2164431
Laboratory TypeAmbulance
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorMr. Jeramie Mielke
Laboratory Phone(608) 876-6118
Laboratory LocationFootville Fire Dept & Ems252 N Gilbert St, Footville, WI 53537
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
1,275 services50 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
57 services33 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
31 services25 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Footville Fire Dept & Ems's NPI number?

The NPI number for Footville Fire Dept & Ems is 1003019704. It was assigned to this organization in the NPPES registry on June 8, 2007.

Where is Footville Fire Dept & Ems located?

Footville Fire Dept & Ems is located at 252 North Gilbert Street, Footville, WI 53537. The listed phone number is (608) 876-6118.

What is Footville Fire Dept & Ems's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Footville Fire Dept & Ems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2164431) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Footville Fire Dept & Ems was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.