Organization Active NPI

City of Rice Lake

  • Land Ambulance
  • Rice Lake, WI
National Provider Identifier
1942948211
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF RICE LAKE
Practice address
34 S Wilson Ave
Rice Lake, WI 54868-2248
Phone
(715) 234-2119
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Mike Hover
Title
Chief
Phone
(715) 234-2119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

34 S Wilson Ave
Rice Lake, WI 54868-2248

Mailing address

PO Box 547
Wheeling, IL 60090-0547
Phone (847) 305-5236

Other names 1

  • Rice Lake Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026003105 WI Part B Supplier - Ambulance Service Supplier 4789050162 Practice locations: Rice Lake, 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
52D2061338Rice Lake Fire Department34 S Wilson Ave, Rice Lake, WI 54868Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

34 S Wilson Ave
Rice Lake, WI 54868
Phone (715) 234-2119

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1942948211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900547",
            "telephone_number": "847-305-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S WILSON AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548682248",
            "telephone_number": "715-234-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RICE LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "HOVER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "715-234-2119"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rice Lake Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rice Lake Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.