Dane County District One EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

60-01193 Issued in WI

Legal business name

DANE COUNTY DISTRICT ONE EMS

Practice address

316 W Commercial St
Mazomanie, WI 53560-9596

Phone

(608) 795-9860

Fax

(608) 795-9860

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jim R Wick

Title

Director

Phone

(608) 795-9860

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1760585095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W COMMERCIAL ST",
            "address_2": "PO BOX 505",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "535609596",
            "telephone_number": "608-795-9860",
            "fax_number": "608-795-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W COMMERCIAL ST",
            "city": "MAZOMANIE",
            "state": "WI",
            "postal_code": "535609596",
            "telephone_number": "608-795-9860",
            "fax_number": "608-795-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANE COUNTY DISTRICT ONE EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "WICK",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "608-795-9860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WI",
            "license": "60-01193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41306000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karina Anne Back, OTR/L
• Emily Carlson
• Denise Cole, MS MFT, LMFT
• Kelly Louise Dejean, RN
• Minta Dwyer
• Macyn Kate Elliott
• Gallagher Chiropractic
• Michael David Gallagher, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.