Organization Active NPI

Union Grove Yorkville Fire Rescue

  • Land Ambulance
  • Union Grove, WI
National Provider Identifier
1992759161
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
UNION GROVE YORKVILLE FIRE RESCUE
Practice address
700 Main St
Union Grove, WI 53182-1048
Phone
(262) 878-4181
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Timothy Allen
Title
Chief
Phone
(262) 878-4181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

700 Main St
Union Grove, WI 53182-1048

Mailing address

700 Main St
Union Grove, WI 53182-1048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000426 WI Part B Supplier - Ambulance Service Supplier 9335134121 Practice locations: Union Grove, 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
52D0989947Union Grove-Yorkville Fire Rescue700 Main St, Union Grove, WI 53182Certificate of waiverAug 8, 2027

National Provider Directory

National Provider Directory

Locations

700 Main St
Union Grove, WI 53182
Phone (262) 878-4181

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1992759161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821048",
            "telephone_number": "262-878-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION GROVE YORKVILLE FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "262-878-4181"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.