SHULLSBURG AMBULANCE SERVICE
NPI 1376506667
Ambulance - Land Transport in Shullsburg, WI

Active since April 08, 2006
190 NORTH JUDGEMENT STREET, SHULLSBURG, WI 53586(608) 965-3719 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shullsburg Ambulance Service NPPES

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

SHULLSBURG AMBULANCE SERVICE (NPI 1376506667) is a healthcare organization registered as a land transport in Shullsburg, Wisconsin and active in the NPI registry since April 2006. The organization lists Mary A. Spillane, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1376506667
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSHULLSBURG AMBULANCE SERVICE
Location Address190 NORTH JUDGEMENT STREETShullsburg, WI 53586-0277
Mailing AddressPo Box 277, 190 Judgement StreetShullsburg, WI 53586-0277 · (608) 965-3719
Organization SubpartNo
Authorized OfficialMary A. SpillaneSecretary/treasurer · (563) 589-8850
Enumeration DateApril 8, 2006
Last NPPES UpdateJuly 11, 2007
NPI 1376506667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
190 NORTH JUDGEMENT STREET, Shullsburg, WI 53586

Other Identifiers 1

Medicaid41340100WI

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 52D0990573

Shullsburg Ambulance Service · Shullsburg, WI
Expired · Jul 5, 2026
CLIA Number52D0990573
Laboratory TypeAmbulance
Certificate Effective DateJuly 6, 2024
Certificate Expiration DateJuly 5, 2026
Laboratory DirectorDr. Matthew Solverson
Laboratory Phone(608) 965-4424
Laboratory LocationShullsburg Ambulance Service190 Judgement St, Shullsburg, WI 53586
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.
617 services27 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.
34 services27 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 Shullsburg Ambulance Service's NPI number?

The NPI number for Shullsburg Ambulance Service is 1376506667. It was assigned to this organization in the NPPES registry on April 8, 2006.

Where is Shullsburg Ambulance Service located?

Shullsburg Ambulance Service is located at 190 North Judgement Street, Shullsburg, WI 53586. The listed phone number is (608) 965-3719.

What is Shullsburg Ambulance Service's specialty?

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

When was this NPI record last updated?

The NPPES record for Shullsburg Ambulance Service was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.