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CLINTONVILLE AREA AMBULANCE SERVICE
NPI 1962422303
Ambulance - Land Transport in Clintonville, WI

Active since July 20, 2006CLIA 52D0921588 · Waiver
16 N. MAIN, CLINTONVILLE, WI 54929(715) 823-5967(715) 823-1379 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2023, Aug 22, 2018 (2 updates tracked since 2018).

About Clintonville Area Ambulance Service NPPES

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

CLINTONVILLE AREA AMBULANCE SERVICE (NPI 1962422303) is a healthcare organization registered as a land transport in Clintonville, Wisconsin and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Sheryl Lynn Wendorf, Director, as its authorized official.

NPPES Registry Identity

NPI1962422303
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCLINTONVILLE AREA AMBULANCE SERVICE
Location Address16 N. MAINClintonville, WI 54929
Mailing AddressPo Box 98Clintonville, WI 54929-0098 · (715) 823-5967 · Fax (715) 823-1379
Phone(715) 823-5967
Fax(715) 823-1379
Organization SubpartNo
Authorized OfficialSheryl Lynn WendorfDirector · (715) 823-5967
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1962422303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in WI · 6001047
Also ListedAmbulanceTaxonomy 341600000X · License 6001047 (WI)
16 N. MAIN, Clintonville, WI 54929
Open in Google Maps ↗

Other Identifiers 1

Medicaid41336000WI

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 52D0921588

Clintonville Ambulance Service · Clintonville, WI
Active · expires Jul 10, 2027
CLIA Number52D0921588
Laboratory TypeAmbulance
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorSheryl Wendorf
Laboratory Phone(715) 823-5967
Laboratory LocationClintonville Ambulance Service16 N Main St, Clintonville, WI 54929
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 3

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.
3,289 services112 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.
89 services55 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.
60 services53 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 Clintonville Area Ambulance Service's NPI number?

The NPI number for Clintonville Area Ambulance Service is 1962422303. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Clintonville Area Ambulance Service located?

Clintonville Area Ambulance Service is located at 16 N. Main, Clintonville, WI 54929. The listed phone number is (715) 823-5967.

What is Clintonville Area Ambulance Service's specialty?

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

Does Clintonville Area Ambulance Service hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0921588) is associated with this NPI, valid through July 10, 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 Clintonville Area Ambulance Service was last updated on January 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.