GREAT DIVIDE AMBULANCE SERVICE
NPI 1689787715
Ambulance - Land Transport in Cable, WI

Active since August 15, 2006
43555 US HIGHWAY 63, CABLE, WI 54821(715) 798-3094(715) 798-4442 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Jun 25, 2021, Mar 10, 2021 (3 updates tracked since 2021).

About Great Divide Ambulance Service NPPES

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

GREAT DIVIDE AMBULANCE SERVICE (NPI 1689787715) is a healthcare organization registered as a land transport in Cable, Wisconsin and active in the NPI registry since August 2006. The organization lists Roy Bloom, Service Director, as its authorized official.

NPPES Registry Identity

NPI1689787715
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameGREAT DIVIDE AMBULANCE SERVICE
Location Address43555 US HIGHWAY 63Cable, WI 54821-2000
Mailing Address43555 Us Highway 63Cable, WI 54821-2000 · (715) 798-3094 · Fax (336) 510-5894
Fax(715) 798-4442
Organization SubpartNo
Authorized OfficialRoy BloomService Director · (715) 798-3094
Enumeration DateAugust 15, 2006
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1689787715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X
43555 US HIGHWAY 63, Cable, WI 54821

Other Identifiers 2

Other391913499019WI · Bcbs
Medicaid41355200WI

Areas of Expertise CMS Part B claims 5

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.
22,053 services281 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
164 services150 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
97 services94 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.
56 services48 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
13 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 Great Divide Ambulance Service's NPI number?

The NPI number for Great Divide Ambulance Service is 1689787715. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Great Divide Ambulance Service located?

Great Divide Ambulance Service is located at 43555 Us Highway 63, Cable, WI 54821. The listed phone number is (715) 798-3094.

What is Great Divide 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 Great Divide Ambulance Service was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.