PRESQUE ISLE VOLUNTEER FIRE DEPARTMENT
NPI 1104871441
Ambulance - Land Transport in Presque Isle, WI

NPI Status: Active since May 24, 2006

Contact Information

SCHOOL LOOP
PRESQUE ISLE, WI
ZIP 54557
Phone: (715) 356-2262

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 52D0980384
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 11-19-2026

About PRESQUE ISLE VOLUNTEER FIRE DEPARTMENT

This page provides the complete NPI Profile along with additional information for Presque Isle Volunteer Fire Department, a provider established in Presque Isle, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1104871441 assigned on May 2006. The practitioner's primary taxonomy code is 3416L0300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Presque Isle Volunteer Fire Department. The authorized official of this NPI record is Donna Jukich (Coordinator)

NPI
1104871441
Provider Legal Name
TOWN OF PRESQUE ISLE
Other Organization Name
PRESQUE ISLE VOLUNTEER FIRE DEPARTMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
SCHOOL LOOP PRESQUE ISLE, WI 54557
Location Phone
(715) 356-2262
Mailing Address
PO BOX 221 PRESQUE ISLE, WI 54557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2006
Last Update Date
08-22-2020
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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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA JUKICH

Authorized Official Title
COORDINATOR
Authorized Official Phone
(715) 356-2262

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
WI0101OTHER (01)JOHN DEERE
41328300MEDICAID (05)WI 
41328300OTHER (01)WIHIRSP
31126OTHER (01)NETWORK HEALTH PLAN

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)

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 25 times for 21 patients

Ground mileage, per statute mile

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.

This service was performed 742 times for 22 patients

CLIA 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
52D0980384
Facility Type
Ambulance
Certificate Effective Date
November 20, 2024
Certificate Expiration Date
November 19, 2026
Laboratory Director
DONNA C. JUKICH, RN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Presque Isle Volunteer Fire Department 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104871441, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 7 + 2 + 4 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104871441.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104871441, enumerated as an "organization" on May 24, 2006.

The provider is located at SCHOOL LOOP PRESQUE ISLE, WI 54557 and the phone number is (715) 356-2262.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.