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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: August 09, 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
Phone(715) 376-2640
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
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Other Identifiers 4

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

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 52D0962616

Gordon-Wascott Ems · Gordon, WI
Active · expires Jul 8, 2027
CLIA Number52D0962616
Laboratory TypeAmbulance
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorBetty L. Ebert
Laboratory Phone(715) 376-2640
Laboratory LocationGordon-Wascott Ems14497 S Snowberry Ln, Gordon, WI 54838
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
1,426 services28 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.
18 services17 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.
16 services13 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 Gordon-Wascott Ems's NPI number?

The NPI number for Gordon-Wascott Ems is 1194828095. It was assigned to this organization in the NPPES registry on September 6, 2006.

Where is Gordon-Wascott Ems located?

Gordon-Wascott Ems is located at 14511 S Highway 53, Gordon, WI 54838. The listed phone number is (715) 376-2640.

What is Gordon-Wascott Ems's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Gordon-Wascott Ems hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0962616) is associated with this NPI, valid through July 8, 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 Gordon-Wascott Ems was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.