BOYD EDSON DELMAR FD AMBULANCE
NPI 1699853788
Ambulance in Boyd, WI

NPI Status: Active since November 02, 2006

Contact Information

100 S OSHKOSH ST
BOYD, WI
ZIP 54726
Phone: (715) 667-3255
Fax: (715) 667-3031

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  • Organization
  • Ambulance
  • CLIA Number: 52D0983909
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 03-07-2027

About BOYD EDSON DELMAR FD AMBULANCE

This page provides the complete NPI Profile along with additional information for Boyd Edson Delmar Fd Ambulance, a provider established in Boyd, Wisconsin operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1699853788 assigned on November 2006. The practitioner's primary taxonomy code is 341600000X with license number 6000352 (WI). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Forrest Eugene Supple (Ambulance Director)

NPI
1699853788
Provider Name
BOYD EDSON DELMAR FD AMBULANCE
Entity Type
Organization
Location Address
100 S OSHKOSH ST BOYD, WI 54726
Location Phone
(715) 667-3255
Location Fax
(715) 667-3031
Mailing Address
PO BOX 177 BOYD, WI 54726
Mailing Phone
(715) 667-3255
Mailing Fax
(715) 667-3031
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2006
Last Update Date
08-22-2020
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Location Map

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

Taxonomy Code
341600000X
Type
Transportation Services
License No.
6000352
License State
WI
Taxonomy Description
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).

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

MR. FORREST EUGENE SUPPLE

Authorized Official Title
AMBULANCE DIRECTOR
Authorized Official Phone
(715) 667-3255

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
41336400MEDICAID (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 116 times for 74 patients

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

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.

This service was performed 16 times for 12 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 1,820 times for 77 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
52D0983909
Facility Type
Ambulance
Certificate Effective Date
March 08, 2025
Certificate Expiration Date
March 07, 2027
Laboratory Director
RONALD R. PATTEN, CHIEF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Boyd Edson Delmar Fd Ambulance 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 1699853788, we treat the final digit (8) 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 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 9 → 18 → 9 8 → 16 → 7 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 1 + 6 + 5 + 6 + 7 + 1 + 6 + 24 = 82

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

The next multiple of ten after 82 is 90. The difference is the calculated check digit.

90 - 82 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1699853788.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699853788, enumerated as an "organization" on November 02, 2006.

The provider is located at 100 S OSHKOSH ST BOYD, WI 54726 and the phone number is (715) 667-3255.

Ambulance with taxonomy code 341600000X.

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