Edgar Volunteer Fire Dept

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

6000119 Issued in WI

Legal business name

EDGAR VOLUNTEER FIRE DEPT

Practice address

108 Beech St
Box 123
Edgar, WI 54426-0123

Phone

(715) 352-2892

Fax

(715) 352-2892

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Connie Halvorsen

Title

EMS Billing Secretary

Phone

(531) 895-5853

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1619003662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 FARNAM DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543237",
            "telephone_number": "531-895-5853",
            "fax_number": "877-343-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BEECH ST",
            "address_2": "BOX 123",
            "city": "EDGAR",
            "state": "WI",
            "postal_code": "544260123",
            "telephone_number": "715-352-2892",
            "fax_number": "715-352-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR VOLUNTEER FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "HALVORSEN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "EMS BILLING SECRETARY",
        "authorized_official_telephone_number": "531-895-5853"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER PTAN",
            "identifier": "000081761",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TAXONOMY CODE",
            "identifier": "3416L0300X",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41327500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aspirus Wausau Hospital Inc
• Davida Ann Berenz, RN
• Herbert N Bretl, DDS
• Heidi L Haasl Vanornum
• Amy Jacobs, RN
• Kaiser Adult Family Care, LLC
• Katie Lynn Kaiser
• Thomas N Kazanecki, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.