Active NPI
Avoca & Rural Fire & EMS District
- Land Ambulance
- Avoca, WI
National Provider Identifier
1801097902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 60-01373
- Legal business name
- AVOCA & RURAL FIRE & EMS DISTRICT
- Practice address
- 406 East Main Street
PO 178
Avoca, WI 53506-0178 - Phone
- (608) 532-6510
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Eric Kammerude
- Title
- Chief/Dirctor of Services
- Phone
- (608) 475-4039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 60-01373 | WI | Primary |
Addresses
Primary practice location
406 East Main Street
PO 178
Avoca, WI 53506-0178
Mailing address
PO Box 192
Avoca, WI 53506-0192
Phone (608) 475-4039
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41353900 | Medicaid | WI |
Other names 1
- Avoca & Rural EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120308000271 | WI | Part B Supplier - Ambulance Service Supplier | 0345409496 | Practice locations: Avoca, WI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D2123362 | Avoca & Rural EMS | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1801097902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 192",
"city": "AVOCA",
"state": "WI",
"postal_code": "535060192",
"telephone_number": "608-475-4039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 EAST MAIN STREET",
"address_2": "PO 178",
"city": "AVOCA",
"state": "WI",
"postal_code": "535060178",
"telephone_number": "608-532-6510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVOCA & RURAL FIRE & EMS DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "KAMMERUDE",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "CHIEF/DIRCTOR OF SERVICES",
"authorized_official_telephone_number": "608-475-4039"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WI",
"license": "60-01373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41353900",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Avoca & Rural EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Avoca, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.