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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RANDOM LAKE FIRE DEPARTMENT
NPI 1194639435
Ambulance - Land Transport in Random Lake, WI

Active since October 02, 2026
718 N SPRING ST, RANDOM LAKE, WI 53075(920) 994-9817 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 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 1194639435) is a healthcare organization registered as a land transport in Random Lake, Wisconsin and active in the NPI registry since October 2026. The organization lists Blaine Werner, Ems Director, as its authorized official.

NPPES Registry Identity

NPI1194639435
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameRANDOM LAKE FIRE DEPARTMENT
Location Address718 N SPRING STRandom Lake, WI 53075-1726
Mailing Address718 N Spring StRandom Lake, WI 53075-1726
Phone(920) 994-9817
Organization SubpartNo
Authorized OfficialBlaine WernerEms Director · (920) 994-4817
Enumeration DateOctober 2, 2026
NPPES CertifiedOctober 2, 2026
✔ NPI 1194639435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
718 N SPRING ST, Random Lake, WI 53075
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Other Identifiers 2

Medicaid41310700WI
Other014WI · Blue Cross Provider

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDOM LAKE FIRE DEPARTMENT
Ambulance (Land Transport)
718 N SPRING ST
RANDOM LAKE, WI 53075
Sheboygan County (920) 994-9817

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 1194639435. It was assigned to this organization in the NPPES registry on October 2, 2026.

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 October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.