VILLAGE OF PALMYRA
NPI 1073889580
Ambulance - Land Transport in Palmyra, WI
- Organization
- Ambulance
- Land Transport
- CLIA Number: 52D2030967
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 10-09-2027
About VILLAGE OF PALMYRA
This page provides the complete NPI Profile along with additional information for Village Of Palmyra, a provider established in Palmyra, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1073889580 assigned on March 2012. The practitioner's primary taxonomy code is 3416L0300X with license number 6604921 (WI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Lawrence Claude Kreger (Fire Chief)
- NPI
- 1073889580 Verify this NPI
- Provider Name
- VILLAGE OF PALMYRA
- Entity Type
- Organization
- Location Address
- 126 N. FIRST STREET PALMYRA, WI 53156
- Location Phone
- (262) 495-2380
- Mailing Address
- PO BOX 380 100 W TAFT ST. PALMYRA, WI 53156
- Mailing Phone
- (262) 495-8316
- Mailing Fax
- (262) 495-8775
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-29-2012
- Last Update Date
- 07-02-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ambulance Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
- License No.
- 6604921
- License State
- WI
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ambulance service, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile
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.
This service was performed 21 times for 20 patientsGround 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.
This service was performed 371 times for 19 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2030967
- Facility Type
- Ambulance
- Certificate Effective Date
- October 10, 2025
- Certificate Expiration Date
- October 09, 2027
- Laboratory Director
- MR. JEFFREY A. ROLFE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Village Of Palmyra to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for VILLAGE OF PALMYRA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073889580, enumerated as an "organization" on March 29, 2012.
The provider is located at 126 N. FIRST STREET PALMYRA, WI 53156 and the phone number is (262) 495-2380.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
