Footville Fire Dept & EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FOOTVILLE FIRE DEPT & EMS

Practice address

252 North Gilbert Street
Footville, WI 53537-0246

Phone

(608) 876-6118

NPI assigned

Jun 8, 2007

Last updated

Feb 10, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randi Mielke

Title

Captain

Phone

(608) 876-6118

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Footville EMS Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Footville EMS Service

  • Land Ambulance
  • Footville, WI
  • NPI 1144403759
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Sulik, MANAGER

  • Land Ambulance
  • Footville, WI
  • NPI 1760602072

  Land Transport

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1003019704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "FOOTVILLE",
            "state": "WI",
            "postal_code": "535370246",
            "telephone_number": "608-876-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 NORTH GILBERT STREET",
            "city": "FOOTVILLE",
            "state": "WI",
            "postal_code": "535370246",
            "telephone_number": "608-876-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTVILLE FIRE DEPT & EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "MIELKE",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "608-876-6118"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41350800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Footville EMS Service
• Osl Sem Operating LLC (Prairie View Manor)
• St. Elizabeth Manor, Inc.
• David Sulik, MANAGER

• Land Ambulance in Footville, WI
• Providers in Footville, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.