EDGAR VOLUNTEER FIRE DEPT
NPI 1619003662
Ambulance - Land Transport in Edgar, WI

NPI Status: Active since February 26, 2007

Contact Information

108 BEECH ST
BOX 123
EDGAR, WI
ZIP 54426
Phone: (715) 352-2892
Fax: (715) 352-2892

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 52D0988727
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 07-05-2027

About EDGAR VOLUNTEER FIRE DEPT

This page provides the complete NPI Profile along with additional information for Edgar Volunteer Fire Dept, a provider established in Edgar, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1619003662 assigned on February 2007. The practitioner's primary taxonomy code is 3416L0300X with license number 6000119 (WI). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Connie Halvorsen (Ems Billing Secretary)

NPI
1619003662
Provider Name
EDGAR VOLUNTEER FIRE DEPT
Entity Type
Organization
Location Address
108 BEECH ST BOX 123 EDGAR, WI 54426
Location Phone
(715) 352-2892
Location Fax
(715) 352-2892
Mailing Address
10802 FARNAM DR OMAHA, NE 68154
Mailing Phone
(531) 895-5853
Mailing Fax
(715) 352-2892
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2007
Last Update Date
10-15-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
6000119
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CONNIE HALVORSEN

Authorized Official Title
EMS BILLING SECRETARY
Authorized Official Phone
(531) 895-5853

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000081761OTHER (01)WIMEDICARE PROVIDER PTAN
3416L0300XOTHER (01)WIMEDICAID TAXONOMY CODE
41327500MEDICAID (05)WI 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, basic life support, emergency transport (bls-emergency)

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.

This service was performed 39 times for 30 patients

Ground mileage, per statute mile

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.

This service was performed 699 times for 32 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D0988727
Facility Type
Ambulance
Certificate Effective Date
July 06, 2025
Certificate Expiration Date
July 05, 2027
Laboratory Director
JULIE ZULEGER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Edgar Volunteer Fire Dept to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619003662, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 0 + 6 + 6 + 1 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1619003662.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619003662, enumerated as an "organization" on February 26, 2007.

The provider is located at 108 BEECH ST BOX 123 EDGAR, WI 54426 and the phone number is (715) 352-2892.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.