BARABOO DISTRICT AMBULANCE SERVICE
NPI 1154326692
Ambulance - Land Transport in Baraboo, WI

Active since June 20, 2005CLIA 52D0902234 · Waiver
135 4TH ST, BARABOO, WI 53913(608) 356-3455(608) 448-4703 Get Directions Write a Review

NPPES record last updated: November 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2021, Apr 7, 2020 (2 updates tracked since 2020).

About Baraboo District Ambulance Service NPPES

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

BARABOO DISTRICT AMBULANCE SERVICE (NPI 1154326692) is a healthcare organization registered as a land transport in Baraboo, Wisconsin and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Caleb C Johnson, Chief / Ems Director, as its authorized official.

NPPES Registry Identity

NPI1154326692
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBARABOO DISTRICT AMBULANCE SERVICE
Location Address135 4TH STBaraboo, WI 53913-2184
Mailing Address135 4th StBaraboo, WI 53913-2184 · (608) 356-3455 · Fax (608) 448-4703
Fax(608) 448-4703
Organization SubpartNo
Authorized OfficialCaleb C JohnsonChief / Ems Director · (608) 393-1977
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 15, 20212 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
NPI 1154326692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
135 4TH ST, Baraboo, WI 53913

Other Identifiers 1

Medicaid41322600WI

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 52D0902234

Baraboo District Ambulance Service · Baraboo, WI
Active · expires Jun 14, 2027
CLIA Number52D0902234
Laboratory TypeAmbulance
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorCaleb Johnson
Laboratory Phone(608) 356-3455
Laboratory LocationBaraboo District Ambulance Service135 4th Street, Baraboo, WI 53913
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 7

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.
15,731 services529 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.
348 services281 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.
207 services143 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
134 services90 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
122 services114 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
64 services63 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 Baraboo District Ambulance Service's NPI number?

The NPI number for Baraboo District Ambulance Service is 1154326692. It was assigned to this organization in the NPPES registry on June 20, 2005.

Where is Baraboo District Ambulance Service located?

Baraboo District Ambulance Service is located at 135 4th St, Baraboo, WI 53913. The listed phone number is (608) 356-3455.

What is Baraboo District Ambulance Service's specialty?

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

Does Baraboo District Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0902234) is associated with this NPI, valid through June 14, 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 Baraboo District Ambulance Service was last updated on November 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.