Town of Clover

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF CLOVER

Doing business as

South Shore Ambulance

Practice address

86980 Lake Avenue
Herbster, WI 54844

Phone

(715) 774-3781

NPI assigned

Aug 14, 2006

Last updated

Dec 2, 2025By 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

Jeff Byerhof

Title

Service Director

Phone

(815) 761-2940

Specialties & licenses 1

Addresses

Other names 1

• South Shore Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1225041940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "HERBSTER",
            "state": "WI",
            "postal_code": "548440094",
            "telephone_number": "715-774-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86980 LAKE AVENUE",
            "city": "HERBSTER",
            "state": "WI",
            "postal_code": "54844",
            "telephone_number": "715-774-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CLOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "BYERHOF",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SERVICE DIRECTOR",
        "authorized_official_telephone_number": "815-761-2940"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Marie Churness, CLC, CPM, CD(DONA)
• Erin Trench

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.