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RANDOM LAKE FIRE DEPARTMENT
NPI 1174514103
Ambulance - Land Transport in Random Lake, WI

Active since October 31, 2005
718 N SPRING ST, RANDOM LAKE, WI 53075(920) 994-9817(920) 994-2678 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Random Lake Fire Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOM LAKE FIRE DEPARTMENT (NPI 1174514103) is a healthcare organization registered as a land transport in Random Lake, Wisconsin and active in the NPI registry since October 2005. The organization lists Blaine Werner, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1174514103
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRANDOM LAKE FIRE DEPARTMENT
Location Address718 N SPRING STRandom Lake, WI 53075-1725
Mailing Address718 N Spring StRandom Lake, WI 53075-1725 · (920) 994-9817 · Fax (920) 994-2678
Phone(920) 994-9817
Fax(920) 994-2678
Organization SubpartNo
Authorized OfficialBlaine WernerEms Director · (920) 994-9817
Enumeration DateOctober 31, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174514103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in WI · 60-01170
718 N SPRING ST, Random Lake, WI 53075
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Other Identifiers 1

Medicaid41310700WI

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
1,310 services44 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
38 services30 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
27 services20 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Random Lake Fire Department's NPI number?

The NPI number for Random Lake Fire Department is 1174514103. It was assigned to this organization in the NPPES registry on October 31, 2005.

Where is Random Lake Fire Department located?

Random Lake Fire Department is located at 718 N Spring St, Random Lake, WI 53075. The listed phone number is (920) 994-9817.

What is Random Lake Fire Department's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for Random Lake Fire Department was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.