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MISHICOT AREA AMBULANCE SERVICE, INC.
NPI 1255468955
Ambulance - Land Transport in Mishicot, WI

Active since February 28, 2007CLIA 52D0931264 · Waiver
214 SOUTH MAIN STREET, MISHICOT, WI 54228(920) 255-4235(920) 755-2345 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 25, 2024, Aug 21, 2024 (2 updates tracked since 2024).

About Mishicot Area Ambulance Service, Inc. NPPES

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

MISHICOT AREA AMBULANCE SERVICE, INC. (NPI 1255468955) is a healthcare organization registered as a land transport in Mishicot, Wisconsin and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Kristy E Reynolds, Service Director, as its authorized official.

NPPES Registry Identity

NPI1255468955
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMISHICOT AREA AMBULANCE SERVICE, INC.
Location Address214 SOUTH MAIN STREETMishicot, WI 54228
Mailing AddressPo Box 214Mishicot, WI 54228-0214 · (920) 255-4235 · Fax (920) 755-2345
Phone(920) 255-4235
Fax(920) 755-2345
Organization SubpartNo
Authorized OfficialKristy E ReynoldsService Director · (920) 255-4235
Enumeration DateFebruary 28, 2007
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1255468955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in WI · 601234
214 SOUTH MAIN STREET, Mishicot, WI 54228
Open in Google Maps ↗

Other Identifiers 1

Medicaid41309700WI

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 52D0931264

Mishicot Area Ambulance Service · Mishicot, WI
Active · expires Jul 24, 2027
CLIA Number52D0931264
Laboratory TypeAmbulance
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorMr. Theresa A. Becker
Laboratory Phone(920) 629-2252
Laboratory LocationMishicot Area Ambulance Service511 East Main St, Mishicot, WI 54228
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
277 services26 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.
25 services23 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 Mishicot Area Ambulance Service, Inc.'s NPI number?

The NPI number for Mishicot Area Ambulance Service, Inc. is 1255468955. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Mishicot Area Ambulance Service, Inc. located?

Mishicot Area Ambulance Service, Inc. is located at 214 South Main Street, Mishicot, WI 54228. The listed phone number is (920) 255-4235.

What is Mishicot Area Ambulance Service, Inc.'s specialty?

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

Does Mishicot Area Ambulance Service, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0931264) is associated with this NPI, valid through July 24, 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 Mishicot Area Ambulance Service, Inc. was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.