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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CITY OF FOND DU LAC
NPI 1619025889
Ambulance - Land Transport in Fond Du Lac, WI

Active since January 06, 2007CLIA 52D1008743 · Waiver
815 S MAIN ST, FOND DU LAC, WI 54935(920) 322-3800 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 9, 2026, May 21, 2026 (2 updates tracked since 2026).

About City Of Fond Du Lac NPPES

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

CITY OF FOND DU LAC (NPI 1619025889), doing business as City Of Fond Du Lac Fire Deparment, is a healthcare organization registered as a land transport in Fond Du Lac, Wisconsin and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Tricia Davi, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1619025889
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF FOND DU LAC
Location Address815 S MAIN STFond Du Lac, WI 54935-5738
Mailing Address160 S Macy St, Po Box 150Fond Du Lac, WI 54935-4241 · (920) 322-3400 · Fax (336) 510-5894
Phone(920) 322-3800
Organization SubpartNo
Authorized OfficialTricia DaviDirector Of Administration · (920) 322-3455
Enumeration DateJanuary 6, 2007
Last NPPES UpdateSeptember 9, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1619025889 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 · 6000344
815 S MAIN ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Other Names 1

Doing Business AsCity Of Fond Du Lac Fire Deparment

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 52D1008743

City Of Fond Du Lac Fire Rescue · Fond Du Lac, WI
Active · expires Jan 26, 2027
CLIA Number52D1008743
Laboratory TypeAmbulance
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorErick Gerritson
Laboratory Phone(920) 322-3800
Laboratory LocationCity Of Fond Du Lac Fire Rescue815 S Main St, Fond Du Lac, WI 54935
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.
1,834 services476 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.
381 services255 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.
349 services289 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.
48 services39 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 Fond Du Lac's NPI number?

The NPI number for City Of Fond Du Lac is 1619025889. It was assigned to this organization in the NPPES registry on January 6, 2007. The provider is doing business as City of Fond du Lac Fire Deparment.

Where is City Of Fond Du Lac located?

City Of Fond Du Lac is located at 815 S Main St, Fond Du Lac, WI 54935. The listed phone number is (920) 322-3800.

What is City Of Fond Du Lac's specialty?

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

Does City Of Fond Du Lac hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1008743) is associated with this NPI, valid through January 26, 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 Fond Du Lac was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.