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TOWN OF DELAVAN
NPI 1285724690
Ambulance in Delavan, WI

Active since October 14, 2006CLIA 52D0984145 · Waiver
5698 TOWN HALL RD, DELAVAN, WI 53115(262) 728-3780(262) 728-4022 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Town Of Delavan NPPES

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

TOWN OF DELAVAN (NPI 1285724690) is a healthcare organization registered as an ambulance in Delavan, Wisconsin and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Colleen M Endisch, Town Clerk, as its authorized official.

NPPES Registry Identity

NPI1285724690
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameTOWN OF DELAVAN
Location Address5698 TOWN HALL RDDelavan, WI 53115-3712
Mailing Address5621 Town Hall RdDelavan, WI 53115-3712 · (262) 728-2471 · Fax (262) 728-3473
Phone(262) 728-3780
Fax(262) 728-4022
Organization SubpartNo
Authorized OfficialColleen M EndischTown Clerk · (262) 728-3471
Enumeration DateOctober 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1285724690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in WI · 6000934
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).

5698 TOWN HALL RD, Delavan, WI 53115
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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 52D0984145

Town Of Delavan Ems Rescue Squad Fire Station · Delavan, WI
Active · expires Mar 13, 2027
CLIA Number52D0984145
Laboratory TypeAmbulance
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorJennifer Petkoff
Laboratory Phone(262) 728-3471
Laboratory LocationTown Of Delavan Ems Rescue Squad Fire Station5698 Town Hall Rd, Delavan, WI 53115
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
953 services91 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.
90 services75 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.
32 services28 patients

Frequently Asked Questions

What is TOWN OF DELAVAN's NPI number?

The NPI number assigned to this healthcare provider is 1285724690, enumerated as an "organization" on October 14, 2006.

Where is the provider located?

The provider is located at 5698 TOWN HALL RD DELAVAN, WI 53115 and the phone number is (262) 728-3780.

What is the provider's specialty?

Ambulance with taxonomy code 341600000X.