County of Door-Door County Library
Organization Active NPI Land Ambulance · Sturgeon Bay, WI
NPI 1184757486 · NPPES record last updated Dec 4, 2025
Key facts
- NPI
- 1184757486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 6000019 (WI)
- Legal business name
- COUNTY OF DOOR-DOOR COUNTY LIBRARY
- Practice address
- 916 N 14TH Ave
Sturgeon Bay, WI 54235-1224 - Phone
- (920) 743-5461
- Fax
- (920) 743-4917
- NPI assigned
- Mar 14, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF DOOR-DOOR COUNTY LIBRARY
Authorized official
- Name
- Aaron Leclair
- Title
- Director
- Phone
- (920) 743-5461
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Practitioners 10
-
Rene Beth Domask, LPC
-
Danielle Nyman, MSW, APSW
-
Cassaundra N Bratz, LPC
-
Kristin Deprey, CSAC
-
Michael P Sayers, PH D
-
Mary Belle Simac, B.S.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D0930744 | Emergency Services of Door County | Certificate of waiver | Jul 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120207000640 | WI | Part B Supplier - Ambulance Service Supplier | 2062434194 | Practice locations: Sturgeon Bay, WI |
National Provider Directory
- Tax ID family
- Door County Public Heal
- Part of
- Door County Public Heal
Locations
319 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5461
916 N 14th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-4917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 6000019 | WI | Yes |
Addresses
Primary practice location
916 N 14TH Ave
Sturgeon Bay, WI 54235-1224
Mailing address
319 S 18TH Ave
Sturgeon Bay, WI 54235-1401
Phone (920) 746-7100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41340300 | Medicaid | WI |
Other names
- Door County Emergency Services
Other providers in Sturgeon Bay, WI
- Community Clinic of Door County, Inc.
- Tracy E Conard
- David G Conger
- Bernadette Conroy
- Counseling Associates of Door County, LLC
- County of Door-Door County Library
- County of Door-Door County Library
- Amanda Marie Court
- Brooke Cravillion
- Colleen Dachelet
All providers in Sturgeon Bay, WI · Land Ambulance in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.