Active NPI
City of Rice Lake
- Land Ambulance
- Rice Lake, WI
National Provider Identifier
1942948211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221026003105 | WI | Part B Supplier - Ambulance Service Supplier | 4789050162 | Practice locations: Rice Lake, 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 |
|---|---|---|---|
| 52D2061338 | Rice Lake Fire Department | Certificate of waiver | Jun 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.