BEAVER DAM FIRE DEPARTMENT
NPI 1235186883
Ambulance - Land Transport in Beaver Dam, WI

Active since May 28, 2006CLIA 52D0930689 · Waiver
205 S LINCOLN AVE, BEAVER DAM, WI 53916(920) 887-4600 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaver Dam Fire Department NPPES

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

BEAVER DAM FIRE DEPARTMENT (NPI 1235186883) is a healthcare organization registered as a land transport in Beaver Dam, Wisconsin and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists John Somers, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1235186883
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF BEAVER DAM ET AL
Location Address205 S LINCOLN AVEBeaver Dam, WI 53916-2323
Mailing Address205 S Lincoln AveBeaver Dam, WI 53916-2323
Organization SubpartNo
Authorized OfficialJohn SomersFinance Director · (920) 887-4600
Enumeration DateMay 28, 2006
Last NPPES UpdateSeptember 3, 2009
NPI 1235186883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
205 S LINCOLN AVE, Beaver Dam, WI 53916

Other Names 1

Doing Business AsBeaver Dam Fire Department

Other Identifiers 3

Medicare PIN000081076WI
Other590094661WI · Railroad Medicare
Medicaid41319900WI

Accepted Insurance

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 52D0930689

Beaver Dam Fire Department · Beaver Dam, WI
Active · expires Jul 16, 2027
CLIA Number52D0930689
Laboratory TypeAmbulance
Certificate Effective DateJuly 17, 2025
Certificate Expiration DateJuly 16, 2027
Laboratory DirectorJake Zemlicka-Retzlaff
Laboratory Phone(920) 887-4609
Laboratory LocationBeaver Dam Fire Department205 S Lincoln Ave, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Address Name
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.
1,934 services311 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.
343 services247 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.
129 services101 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 City Of Beaver Dam Et Al's NPI number?

The NPI number for City Of Beaver Dam Et Al is 1235186883. It was assigned to this organization in the NPPES registry on May 28, 2006. The provider is doing business as Beaver Dam Fire Department.

Where is City Of Beaver Dam Et Al located?

City Of Beaver Dam Et Al is located at 205 S Lincoln Ave, Beaver Dam, WI 53916. The listed phone number is (920) 887-4600.

What is City Of Beaver Dam Et Al's specialty?

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

Does City Of Beaver Dam Et Al hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0930689) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does City Of Beaver Dam Et Al accept?

Health plans from Anthem Blue Cross and Blue Shield list City Of Beaver Dam Et Al as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for City Of Beaver Dam Et Al was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.