GORDON-WASCOTT EMS
NPI 1194828095
Ambulance in Gordon, WI

Active since September 06, 2006CLIA 52D0962616 · Waiver
14511 S HIGHWAY 53, GORDON, WI 54838(715) 376-2640 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gordon-wascott Ems NPPES

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

GORDON-WASCOTT EMS (NPI 1194828095) is a healthcare organization registered as an ambulance in Gordon, Wisconsin and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Betty Ebert, Director, as its authorized official.

NPPES Registry Identity

NPI1194828095
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameGORDON-WASCOTT EMS
Location Address14511 S HIGHWAY 53Gordon, WI 54838-4800
Mailing Address14511 S Hwy 53Gordon, WI 53838-4800 · (715) 376-2640 · Fax (866) 732-0699
Organization SubpartNo
Authorized OfficialBetty EbertDirector · (715) 376-2640
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 3, 2014
NPI 1194828095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

14511 S HIGHWAY 53, Gordon, WI 54838

Other Identifiers 4

Medicaid41326900WI
Medicare PIN000080034WI
Medicare PINP00181458WI
Other=========012WI · Bcbs

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, advanced life support, emergency transport, level 1 (als 1 - emergency)

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.

This service was performed 20 times for 19 patients

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 19 times for 16 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 1,722 times for 31 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
52D0962616
Facility Type
Ambulance
Certificate Effective Date
July 09, 2025
Certificate Expiration Date
July 08, 2027
Laboratory Director
BETTY L. EBERT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gordon-wascott Ems 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 GORDON-WASCOTT EMS

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194828095, enumerated as an "organization" on September 06, 2006.

The provider is located at 14511 S HIGHWAY 53 GORDON, WI 54838 and the phone number is (715) 376-2640.

Ambulance with taxonomy code 341600000X.

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