Organization Active NPI

Dells-Delton EMS Commission

Doing business as Dells-Delton EMS

  • Land Ambulance
  • Baraboo, WI
National Provider Identifier
1821043910
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DELLS-DELTON EMS COMMISSION
Doing business as
Dells-Delton EMS
Practice address
45 Miller Dr
Baraboo, WI 53913
Phone
(608) 254-2159
NPI assigned
May 24, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Dillon Gavinski
Title
Director
Phone
(734) 691-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

45 Miller Dr
Baraboo, WI 53913

Mailing address

PO Box 716
Lake Delton, WI 53940-0716
Phone (270) 727-0450

Other identifiers 18

IdentifierTypeStateIssuer
128443600MedicaidMN
000081495OtherADVOCARE MCHMO
=========OtherBCBS
4570350MedicaidMI
487393700OtherWORKER'S COMPENSATION
=========OtherTRICARE
=========OtherUNITED HEALTHCARE
0572800MedicaidIA
95766OtherHEALTH PARTNERS
=========OtherHO CHUNK NATION
1042692OtherPHYSICIAN'S PLUS
=========OtherTOUCHPOINT
=========MedicaidIL
WI0100OtherJOHN DEERE
084320OtherHEALTH ALLIANCE
8181670OtherMEDICA
41359800MedicaidWI
=========OtherVALLEY HEALTH PLAN

Other names 1

  • Dells-Delton EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060130000237 WI Part B Supplier - Ambulance Service Supplier 6204840291 Practice locations: Baraboo, WI; Wisconsin Dells, WI

National Provider Directory

National Provider Directory

Locations

45 Miller Dr
Baraboo, WI 53913
Phone (608) 254-2159

20 Wisconsin Dells Pkwy
Wisconsin Dells, WI 53965
Phone (608) 254-2159

919 Bowman Rd
Wisconsin Dells, WI 53965
Phone (608) 254-2159

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1821043910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "LAKE DELTON",
            "state": "WI",
            "postal_code": "539400716",
            "telephone_number": "270-727-0450",
            "fax_number": "336-510-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MILLER DR",
            "city": "BARABOO",
            "state": "WI",
            "postal_code": "53913",
            "telephone_number": "608-254-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELLS-DELTON EMS COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "GAVINSKI",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "734-691-3766"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128443600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCARE MCHMO",
            "identifier": "000081495",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4570350",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "487393700",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0572800",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "95766",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HO CHUNK NATION",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S PLUS",
            "identifier": "1042692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOUCHPOINT",
            "identifier": "=========",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "=========",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "WI0100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "084320",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8181670",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41359800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALLEY HEALTH PLAN",
            "identifier": "=========",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dells-Delton EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baraboo, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.