SOUTHERN GREEN LAKE COUNTY AMBULANCE SERVICE
NPI 1467668947
Ambulance - Land Transport in Markesan, WI

Q: What is Southern Green Lake County Ambulance Service's specialty?

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

Active since May 14, 2007CLIA 52D1050433 · Waiver

877 N. MARGARET STREET, MARKESAN, WI 53946(920) 398-2636 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Southern Green Lake County Ambulance Service NPPES

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

SOUTHERN GREEN LAKE COUNTY AMBULANCE SERVICE (NPI 1467668947) is a healthcare organization registered as a land transport in Markesan, Wisconsin and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 2, 2028 and lists Lori Evans, Secretary-treasurer, as its authorized official.

NPPES Registry Identity

NPI1467668947

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameSOUTHERN GREEN LAKE COUNTY AMBULANCE SERVICE

Location Address877 N. MARGARET STREETMarkesan, WI 53946-0075

Mailing Address877 N. Margaret StreetMarkesan, WI 53946-0075

Phone(920) 398-2636

Organization SubpartNo

Authorized OfficialLori EvansSecretary-treasurer · (920) 398-2636

Enumeration DateMay 14, 2007

Last NPPES UpdateFebruary 22, 2012

✔ NPI 1467668947 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 · 60-00751

877 N. MARGARET STREET, Markesan, WI 53946

Open in Google Maps ↗

Other Identifiers 4

Medicaid722414WI

Medicare PIN000082276WI

Medicare OSCAR/certification000082276WI

Medicare UPIN000082276WI

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 52D1050433

Southern Green Lake County Ambulance · Markesan, WI

Active · expires Feb 2, 2028

CLIA Number52D1050433

Laboratory TypeAmbulance

Certificate Effective DateFebruary 3, 2026

Certificate Expiration DateFebruary 2, 2028

Laboratory DirectorJoel R. Strahota

Laboratory Phone(920) 398-2636

Laboratory LocationSouthern Green Lake County Ambulance877 N Margaret St PO Box 75, Markesan, WI 53946

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 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.

1,485 services52 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.

55 services42 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.

14 services13 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 Southern Green Lake County Ambulance Service's NPI number?

The NPI number for Southern Green Lake County Ambulance Service is 1467668947. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Southern Green Lake County Ambulance Service located?

Southern Green Lake County Ambulance Service is located at 877 N. Margaret Street, Markesan, WI 53946. The listed phone number is (920) 398-2636.

What is Southern Green Lake County Ambulance Service's specialty?

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

Does Southern Green Lake County Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1050433) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Green Lake County Ambulance Service was last updated on February 22, 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.