Provider Demographics
NPI:1821043910
Name:DELLS-DELTON EMS COMMISSION
Entity type:Organization
Organization Name:DELLS-DELTON EMS COMMISSION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DILLON
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-691-3766
Mailing Address - Street 1:PO BOX 716
Mailing Address - Street 2:
Mailing Address - City:LAKE DELTON
Mailing Address - State:WI
Mailing Address - Zip Code:53940-0716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:45 MILLER DR
Practice Address - Street 2:
Practice Address - City:BARABOO
Practice Address - State:WI
Practice Address - Zip Code:53913
Practice Address - Country:US
Practice Address - Phone:608-254-2159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
084320OtherHEALTH ALLIANCE
=========OtherTRICARE
=========OtherBCBS
=========OtherHO CHUNK NATION
000081495OtherADVOCARE MCHMO
MN128443600Medicaid
MI4570350Medicaid
487393700OtherWORKER'S COMPENSATION
8181670OtherMEDICA
=========OtherVALLEY HEALTH PLAN
IA0572800Medicaid
=========OtherUNITED HEALTHCARE
IL=========Medicaid
WI0100OtherJOHN DEERE
WI41359800Medicaid
95766OtherHEALTH PARTNERS
1042692OtherPHYSICIAN'S PLUS
=========OtherTOUCHPOINT