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

Active since November 02, 2006CLIA 52D0983909 · Waiver
100 S OSHKOSH ST, BOYD, WI 54726(715) 667-3255(715) 667-3031 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Boyd Edson Delmar Fd Ambulance NPPES

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

BOYD EDSON DELMAR FD AMBULANCE (NPI 1699853788) is a healthcare organization registered as an ambulance in Boyd, Wisconsin and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Forrest Eugene Supple, Ambulance Director, as its authorized official.

NPPES Registry Identity

NPI1699853788
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameBOYD EDSON DELMAR FD AMBULANCE
Location Address100 S OSHKOSH STBoyd, WI 54726
Mailing AddressPo Box 177Boyd, WI 54726 · (715) 667-3255 · Fax (715) 667-3031
Phone(715) 667-3255
Fax(715) 667-3031
Organization SubpartNo
Authorized OfficialForrest Eugene SuppleAmbulance Director · (715) 667-3255
Enumeration DateNovember 2, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1699853788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in WI · 6000352
Definition
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).
100 S OSHKOSH ST, Boyd, WI 54726
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Other Identifiers 1

Medicaid41336400WI

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 52D0983909

Boyd-Edson Delmar Fire Dept & Ambulance Service · Boyd, WI
Active · expires Mar 7, 2027
CLIA Number52D0983909
Laboratory TypeAmbulance
Certificate Effective DateMarch 8, 2025
Certificate Expiration DateMarch 7, 2027
Laboratory DirectorRonald R. Patten, Chief
Laboratory Phone(715) 667-3255
Laboratory LocationBoyd-Edson Delmar Fire Dept & Ambulance Service100 S Oshkosh St PO Box 177, Boyd, WI 54726
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
661 services39 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.
54 services38 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 Boyd Edson Delmar Fd Ambulance's NPI number?

The NPI number for Boyd Edson Delmar Fd Ambulance is 1699853788. It was assigned to this organization in the NPPES registry on November 2, 2006.

Where is Boyd Edson Delmar Fd Ambulance located?

Boyd Edson Delmar Fd Ambulance is located at 100 S Oshkosh St, Boyd, WI 54726. The listed phone number is (715) 667-3255.

What is Boyd Edson Delmar Fd Ambulance's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Boyd Edson Delmar Fd Ambulance hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0983909) is associated with this NPI, valid through March 7, 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 Boyd Edson Delmar Fd Ambulance was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.