Active NPI
Spencer Area Fire and Ambulance Commission
Doing business as Spencer Fire Department and Ambulance Service
- Ambulance
- Spencer, WI
National Provider Identifier
1164552105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 94083
- Legal business name
- SPENCER AREA FIRE AND AMBULANCE COMMISSION
- Doing business as
- Spencer Fire Department and Ambulance Service
- Practice address
- 206 W Willow Drive
206 W Willow Drive
Spencer, WI 54479-9552 - Phone
- (715) 659-4030
- Fax
- (715) 659-4106
- NPI assigned
- Mar 7, 2007
- Last updated
- Mar 9, 2025
- 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
- Daniel Wall
- Title
- 3Rd Assistant Chief
- Phone
- (715) 615-9596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 94083 | WI | Primary |
Addresses
Primary practice location
206 W Willow Drive
206 W Willow Drive
Spencer, WI 54479-9552
Mailing address
PO Box 360
206 W Willow Drive
Spencer, WI 54479-9552
Phone (715) 659-4030
Other names 1
- Spencer Fire Department and 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 |
|---|---|---|---|---|
| O20120523000609 | WI | Part B Supplier - Ambulance Service Supplier | 4587827837 | Practice locations: Spencer, 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 |
|---|---|---|---|
| 52D0985188 | Spencer Area Ambulance | Certificate of waiver | Apr 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
206 W Willow Dr
206 W Willow Dr
Spencer, WI 54479
Phone (715) 659-4030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741478400000",
"number": "1164552105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 360",
"address_2": "206 W WILLOW DRIVE",
"city": "SPENCER",
"state": "WI",
"postal_code": "544799552",
"telephone_number": "715-659-4030",
"fax_number": "715-659-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W WILLOW DRIVE",
"address_2": "206 W WILLOW DRIVE",
"city": "SPENCER",
"state": "WI",
"postal_code": "544799552",
"telephone_number": "715-659-4030",
"fax_number": "715-659-4106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPENCER AREA FIRE AND AMBULANCE COMMISSION",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2025-03-09",
"certification_date": "2025-03-09",
"status": "A",
"authorized_official_last_name": "WALL",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "3RD ASSISTANT CHIEF",
"authorized_official_telephone_number": "715-615-9596"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WI",
"license": "94083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spencer Fire Department and Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spencer, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; 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.