Organization Active NPI

City of Fond Du Lac

Doing business as City of Fond du Lac Fire Deparment

  • Land Ambulance
  • Fond Du Lac, WI
National Provider Identifier
1619025889
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
6000344 Issued in WI
Legal business name
CITY OF FOND DU LAC
Doing business as
City of Fond du Lac Fire Deparment
Practice address
815 S Main St
Fond Du Lac, WI 54935-5738
Phone
(920) 322-3800
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
Tricia Davi
Title
Director of Administration
Phone
(920) 322-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 6000344 WI Primary

Addresses

Primary practice location

815 S Main St
Fond Du Lac, WI 54935-5738

Mailing address

160 S Macy St
PO Box 150
Fond Du Lac, WI 54935-4241
Phone (920) 322-3400

Other names 1

  • City of Fond du Lac Fire Deparment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081118000253 WI Part B Supplier - Ambulance Service Supplier 3072673250 Practice locations: Fond Du Lac, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1008743City of Fond Du Lac Fire Rescue815 S Main St, Fond Du Lac, WI 54935Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Locations

235 S National Ave
Fond du Lac, WI 54935
Phone (920) 322-3454

815 S Main St
Fond du Lac, WI 54935
Phone (920) 322-3454

855 Western Ave
Fond du Lac, WI 54935
Phone (920) 322-3454

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1619025889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S MACY ST",
            "address_2": "PO BOX 150",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354241",
            "telephone_number": "920-322-3400",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S MAIN ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355738",
            "telephone_number": "920-322-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FOND DU LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "DAVI",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "920-322-3455"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "6000344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Fond du Lac Fire Deparment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fond Du Lac, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.