OCONOMOWOC FIRE DEPARTMENT
NPI 1194777359
Ambulance in Oconomowoc, WI

NPI Status: Active since May 16, 2006

Contact Information

212 S CONCORD RD
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 569-3223
Fax: (262) 569-3297

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  • Organization
  • Ambulance
  • CLIA Number: 52D2293805
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About OCONOMOWOC FIRE DEPARTMENT

This page provides the complete NPI Profile along with additional information for Oconomowoc Fire Department, a provider established in Oconomowoc, Wisconsin operating as a Ambulance. The healthcare provider is registered in the NPI registry with number 1194777359 assigned on May 2006. The practitioner's primary taxonomy code is 341600000X with license number 6001152 (WI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Oconomowoc Fire Department. The authorized official of this NPI record is Mr. Glenn R Leidel (Deputy Fire Chief)

NPI
1194777359
Provider Legal Name
CITY OF OCONOMOWOC
Other Organization Name
OCONOMOWOC FIRE DEPARTMENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
212 S CONCORD RD OCONOMOWOC, WI 53066
Location Phone
(262) 569-3223
Location Fax
(262) 569-3297
Mailing Address
212 S CONCORD RD OCONOMOWOC, WI 53066
Mailing Phone
(262) 569-3223
Mailing Fax
(262) 569-3297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
02-06-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance

Taxonomy Code
341600000X
Type
Transportation Services
License No.
6001152
License State
WI
Taxonomy Description
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. GLENN R LEIDEL

Authorized Official Title
DEPUTY FIRE CHIEF
Authorized Official Phone
(262) 569-3223

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
41306800MEDICAID (05)WI 
=========018OTHER (01)WIBCBS
791590219OTHER (01)WIRR CARE
=========OTHER (01)WITRICARE
000085734MEDICARE ID-TYPE UNSPECIFIED (04)WI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2293805
Facility Type
Community Clinic
Certificate Effective Date
November 15, 2023
Certificate Expiration Date
May 22, 2026
Laboratory Director
THOMAS BRUCKER
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Oconomowoc Fire Department on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for OCONOMOWOC FIRE DEPARTMENT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194777359, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 1 + 4 + 7 + 1 + 4 + 3 + 1 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1194777359.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194777359, enumerated as an "organization" on May 16, 2006.

The provider is located at 212 S CONCORD RD OCONOMOWOC, WI 53066 and the phone number is (262) 569-3223.

Ambulance with taxonomy code 341600000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.