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VILLAGE OF PALMYRA
NPI 1073889580
Ambulance - Land Transport in Palmyra, WI

Active since March 29, 2012CLIA 52D2030967 · Waiver
126 N. FIRST STREET, PALMYRA, WI 53156(262) 495-2380 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Village Of Palmyra NPPES

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

VILLAGE OF PALMYRA (NPI 1073889580) is a healthcare organization registered as a land transport in Palmyra, Wisconsin and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Lawrence Claude Kreger, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1073889580
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF PALMYRA
Location Address126 N. FIRST STREETPalmyra, WI 53156
Mailing AddressPo Box 380, 100 W Taft St.Palmyra, WI 53156 · (262) 495-8316 · Fax (262) 495-8775
Phone(262) 495-2380
Organization SubpartNo
Authorized OfficialLawrence Claude KregerFire Chief · (262) 495-2380
Enumeration DateMarch 29, 2012
Last NPPES UpdateJuly 2, 2012
✔ NPI 1073889580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in WI · 6604921
126 N. FIRST STREET, Palmyra, WI 53156
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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 52D2030967

Village Of Palmyra Fire Department · Palmyra, WI
Active · expires Oct 9, 2027
CLIA Number52D2030967
Laboratory TypeAmbulance
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorMr. Jeffrey A. Rolfe
Laboratory Phone(262) 495-8316
Laboratory LocationVillage Of Palmyra Fire Department126 N First St, Palmyra, WI 53156
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 2

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.
419 services21 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.
19 services18 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 Village Of Palmyra's NPI number?

The NPI number for Village Of Palmyra is 1073889580. It was assigned to this organization in the NPPES registry on March 29, 2012.

Where is Village Of Palmyra located?

Village Of Palmyra is located at 126 N. First Street, Palmyra, WI 53156. The listed phone number is (262) 495-2380.

What is Village Of Palmyra's specialty?

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

Does Village Of Palmyra hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2030967) is associated with this NPI, valid through October 9, 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 Village Of Palmyra was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.