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CITY OF ANTIGO
NPI 1407899677
Ambulance in Antigo, WI

Active since June 14, 2006CLIA 52D0985967 · Waiver
700 EDISON ST, ANTIGO, WI 54409(715) 623-3633(715) 627-4761 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About City Of Antigo NPPES

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

CITY OF ANTIGO (NPI 1407899677) is a healthcare organization registered as an ambulance in Antigo, Wisconsin and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Linda J Vollmar, Billing Secretary, as its authorized official.

NPPES Registry Identity

NPI1407899677
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCITY OF ANTIGO
Location Address700 EDISON STAntigo, WI 54409-1955
Mailing Address700 Edison StAntigo, WI 54409-1955 · (715) 623-3633 · Fax (715) 627-4761
Phone(715) 623-3633
Fax(715) 627-4761
Organization SubpartNo
Authorized OfficialLinda J VollmarBilling Secretary · (715) 623-3633
Enumeration DateJune 14, 2006
Last NPPES UpdateMarch 6, 2012
✔ NPI 1407899677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in WI · 60-01340
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).
700 EDISON ST, Antigo, WI 54409
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Other Identifiers 3

Medicaid4135130WI
Other590007241WI · Railroad Medicare
Medicare ID-Type Unspecified000085578WI

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 52D0985967

City Of Antigo Fire Department · Antigo, WI
Active · expires May 2, 2027
CLIA Number52D0985967
Laboratory TypeAmbulance
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorMr. Corey Smith
Laboratory Phone(715) 623-3633
Laboratory LocationCity Of Antigo Fire Department700 Edison St, Antigo, WI 54409
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 4

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.
1,868 services195 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.
235 services149 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.
72 services63 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
18 services14 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 Antigo's NPI number?

The NPI number for City Of Antigo is 1407899677. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is City Of Antigo located?

City Of Antigo is located at 700 Edison St, Antigo, WI 54409. The listed phone number is (715) 623-3633.

What is City Of Antigo's specialty?

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

Does City Of Antigo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0985967) is associated with this NPI, valid through May 2, 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 City Of Antigo was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.