Active NPI
Union Grove Yorkville Fire Rescue
- Land Ambulance
- Union Grove, WI
National Provider Identifier
1992759161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000426 | WI | Part B Supplier - Ambulance Service Supplier | 9335134121 | Practice locations: Union Grove, 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 |
|---|---|---|---|
| 52D0989947 | Union Grove-Yorkville Fire Rescue | Certificate of waiver | Aug 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.