NORTH LAND MUNICIPAL AMBULANCE INC — NPI 1093904393 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in LUCK, WI)

CMS-1500 Box 24J / 33a • NPI

1093904393

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416L0300X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

636 S MAIN ST, LUCK, WI, 54853-9036

✓ 9-Digit EDI 837 ZIP+4 (54853-9036)

Practice Phone & Referral Fax

(715) 472-2388

Fax: (715) 472-8411

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1093904393 (NORTH LAND MUNICIPAL AMBULANCE INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1093904393` (NPI-2 Organization / Facility)
Provider / Legal Name	NORTH LAND MUNICIPAL AMBULANCE INC
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416L0300X` (Ambulance, Land Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	636 S MAIN ST, LUCK, WI, 54853-9036
Practice Telephone / Fax	Tel: (715) 472-2388 \| Fax: (715) 472-8411
Administrative Mailing Address	PO BOX 155, LUCK, WI, 54853-0155
Enumeration & Last Sync	Enumerated: 2007-10-23 \| CMS Record Updated: 2008-02-21
Authorized Official	RAEANN ALLEN (MANAGER)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

636 S MAIN ST, LUCK, WI, 54853-9036

🗺️ Open in Google Maps 🏥 More Providers in LUCK

🔒 Are you NORTH LAND MUNICIPAL AMBULANCE INC? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (3416L0300X)

What Does Taxonomy Code 3416L0300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416L0300X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NORTH LAND MUNICIPAL AMBULANCE INC)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: WI \| License: `6001115` \| Primary: Secondary
`3416L0300X` — Ambulance, Land Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: WI \| License: `6001122` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

NORTH LAND MUNICIPAL AMBULANCE INC (NPI #1093904393)