DODGEVILLE AREA AMBULANCE SERVICE
NPI 1700833167
Emergency Medical Technician, Intermediate in Dodgeville, WI

Active since May 30, 2006CLIA 52D0926379 · Waiver
100 E FOUNTAIN ST, DODGEVILLE, WI 53533(608) 935-5111(608) 935-9477 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dodgeville Area Ambulance Service NPPES

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

DODGEVILLE AREA AMBULANCE SERVICE (NPI 1700833167) is a healthcare organization registered as an emergency medical technician, intermediate in Dodgeville, Wisconsin and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Brian Cushman, Chief, as its authorized official.

NPPES Registry Identity

NPI1700833167
Entity TypeOrganization
Primary Taxonomy146M00000X
Legal Business NameCITY OF DODGEVILLE
Location Address100 E FOUNTAIN STDodgeville, WI 53533-1750
Mailing Address2715 W Frank StEau Claire, WI 54703-2593 · Fax (715) 834-5870
Fax(608) 935-9477
Organization SubpartNo
Authorized OfficialBrian CushmanChief · (608) 935-5111
Enumeration DateMay 30, 2006
Last NPPES UpdateJanuary 3, 2013
NPI 1700833167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency Medical Technician, IntermediateEmergency Medical Service Providers
Taxonomy Code146M00000X
License Licensed in WI · 60 01312
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License 60 01312 (WI)
100 E FOUNTAIN ST, Dodgeville, WI 53533

Other Names 1

Doing Business AsDodgeville Area Ambulance Service

Other Identifiers 2

Medicaid41345200WI
Medicare ID-Type Unspecified000082904WI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 52D0926379

Dodgeville Area Ambulance Service · Dodgeville, WI
Active · expires Mar 20, 2027
CLIA Number52D0926379
Laboratory TypeAmbulance
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDr. Jodi Mcgraw
Laboratory Phone(608) 935-5111
Laboratory LocationDodgeville Area Ambulance Service100 W Spring Street, Dodgeville, WI 53533
CLIA data matches this NPI record on: 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.
1,780 services157 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.
130 services80 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.
110 services85 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.
27 services14 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 Dodgeville's NPI number?

The NPI number for City Of Dodgeville is 1700833167. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Dodgeville Area Ambulance Service.

Where is City Of Dodgeville located?

City Of Dodgeville is located at 100 E Fountain St, Dodgeville, WI 53533. The listed phone number is (608) 935-5111.

What is City Of Dodgeville's specialty?

The primary specialty registered for this NPI is Emergency Medical Technician, Intermediate with taxonomy code 146M00000X.

Does City Of Dodgeville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0926379) is associated with this NPI, valid through March 20, 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 Dodgeville was last updated on January 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.