✓ Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance (3416L0300X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

ASPIRUS EAGLE RIVER HOSPITAL, INC (NPI #1790718542)

Ambulance, Land Transport • EAGLE RIVER, WI • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1790718542
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
201 HOSPITAL RD, EAGLE RIVER, WI, 54521-8835
✓ 9-Digit EDI 837 ZIP+4 (54521-8835)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790718542 (ASPIRUS EAGLE RIVER HOSPITAL, 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 Number1790718542 (NPI-2 Organization / Facility)
Provider / Legal NameASPIRUS EAGLE RIVER HOSPITAL, INC
Plain-English SpecialtyLicensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance
NUCC Code: 3416L0300X (Ambulance, Land Transport)
Certifying / Licensing BodyState EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address201 HOSPITAL RD, EAGLE RIVER, WI, 54521-8835
Practice Telephone / FaxTel: (715) 479-7411
Administrative Mailing Address29980 NETWORK PL, CHICAGO, IL, 60673-1299
Enumeration & Last SyncEnumerated: 2006-07-07 | CMS Record Updated: 2024-06-07
Authorized OfficialJERRY YANG (SVP & Chief Financial Officer)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

201 HOSPITAL RD, EAGLE RIVER, WI, 54521-8835

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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 (ASPIRUS EAGLE RIVER HOSPITAL, 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 DescriptionState License & Primary Status
282NC0060X — General Acute Care Hospital, Critical Access
Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)
State: WI | License: 1000 | Primary: Secondary
3416L0300X — Ambulance, Land Transport
Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance
State: WI | License: Verified | Primary: Yes (Primary)
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