Active NPI
Birchwood Four Corners Emergency Services District
Doing business as Birchwood Ambulance Service
- Ambulance
- Birchwood, WI
National Provider Identifier
1013165901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 6000113
- Legal business name
- BIRCHWOOD FOUR CORNERS EMERGENCY SERVICES DISTRICT
- Doing business as
- Birchwood Ambulance Service
- Practice address
- 280 Edenharter Rd
Birchwood, WI 54817-8507 - Phone
- (715) 354-3003
- NPI assigned
- Sep 4, 2008
- Last updated
- Apr 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samantha E Zemaitis
- Title
- EMS Director
- Phone
- (715) 354-9905
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 6000113 | WI | Primary |
Addresses
Primary practice location
280 Edenharter Rd
Birchwood, WI 54817-8507
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (630) 530-2988
Other names 1
- BIRCHWOOD AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090119000044 | WI | Part B Supplier - Ambulance Service Supplier | 8628131612 | Practice locations: Birchwood, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0993019 | Birchwood Four Corner Emergency Services District | Certificate of waiver | Oct 31, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Birchwood Ambulance Service
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Birchwood Ambulance Service
- Ambulance
- Birchwood, WI
- NPI 1508024340
Locations
280 Edenharter Rd
Birchwood, WI 54817
Phone (715) 354-3003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775088000000",
"number": "1013165901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6253",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601976253",
"telephone_number": "630-530-2988",
"fax_number": "630-832-9750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 EDENHARTER RD",
"city": "BIRCHWOOD",
"state": "WI",
"postal_code": "548178507",
"telephone_number": "715-354-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIRCHWOOD FOUR CORNERS EMERGENCY SERVICES DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A",
"authorized_official_last_name": "ZEMAITIS",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "715-354-9905"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WI",
"license": "6000113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BIRCHWOOD AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BIRCHWOOD AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birchwood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.