Organization Active NPI

Avoca & Rural Fire & EMS District

  • Land Ambulance
  • Avoca, WI
National Provider Identifier
1801097902
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
60-01373 Issued in WI
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

Updated by the provider on Dec 13, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
41353900MedicaidWI

Other names 1

  • Avoca & Rural EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120308000271 WI Part B Supplier - Ambulance Service Supplier 0345409496 Practice locations: Avoca, 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
52D2123362Avoca & Rural EMS406 E Main Street, Avoca, WI 53506Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.