Great Divide Ambulance Service
Great Divide Ambulance Service is a healthcare organization registered as Land Ambulance in Cable, WI, holding Type 2 (organization) NPI 1689787715 since 2006. The authorized official on file is Roy Bloom, Service Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689787715 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Great Divide Ambulance Service |
| Practice address | 43555 US HIGHWAY 63, Cable, WI, 54821 |
| Phone | 7157983094 |
| Fax | 7157984442 |
| Enumeration date | 2006-08-15 |
| Last updated in NPPES | 2025-09-16 |
Authorized official
| Name | Roy Bloom |
|---|---|
| Title | Service Director |
| Phone | 7157983094 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 341600000X | Ambulance | Secondary | — | — |
| 3416L0300X | Land Ambulance | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391913499019 | Other | WI | BCBS |
| 41355200 | Medicaid | WI | — |
Copy-ready billing details
Provider: Great Divide Ambulance Service NPI: 1689787715 Taxonomy: 3416L0300X (Land Ambulance) Address: 43555 US HIGHWAY 63, Cable, WI, 54821
Verify this record
Cross-check NPI 1689787715 against the authoritative CMS record: view Great Divide Ambulance Service on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Great Divide Ambulance Service?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-16.