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JACKSON FIRE DEPARTMENT
NPI 1255501672
Ambulance - Land Transport in Jackson, WI

Active since March 03, 2008CLIA 52D0987553 · Waiver
W204N16722 JACKSON DR, JACKSON, WI 53037(262) 677-3811(262) 677-9471 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jackson Fire Department NPPES

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

JACKSON FIRE DEPARTMENT (NPI 1255501672) is a healthcare organization registered as a land transport in Jackson, Wisconsin and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through June 6, 2027 and lists John Michael Skodinski, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1255501672
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF JACKSON
Location AddressW204N16722 JACKSON DRJackson, WI 53037-9796
Mailing AddressPo Box 72140Cedarburg, WI 53012-7340 · (262) 375-9610 · Fax (262) 375-9608
Phone(262) 677-3811
Fax(262) 677-9471
Organization SubpartNo
Authorized OfficialJohn Michael SkodinskiFire Chief · (262) 677-3811
Enumeration DateMarch 3, 2008
Last NPPES UpdateDecember 15, 2010
✔ NPI 1255501672 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 · 38476
W204N16722 JACKSON DR, Jackson, WI 53037
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Other Names 1

Doing Business AsJackson Fire Department

Other Identifiers 1

Medicare PIN81077WI

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0987553

Jackson Fire Department · Jackson, WI
Active · expires Jun 6, 2027
CLIA Number52D0987553
Laboratory TypeAmbulance
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMr. Aaron A. Swaney
Laboratory Phone(262) 677-3811
Laboratory LocationJackson Fire DepartmentN168w18851 Main Street, Jackson, WI 53037
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

VILLAGE OF JACKSON
Ambulance (Land Transport)
W204N16722 JACKSON DR
JACKSON, WI 53037
Washington County (262) 677-3811

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 Village Of Jackson's NPI number?

The NPI number for Village Of Jackson is 1255501672. It was assigned to this organization in the NPPES registry on March 3, 2008. The provider is doing business as Jackson Fire Department.

Where is Village Of Jackson located?

Village Of Jackson is located at W204n16722 Jackson Dr, Jackson, WI 53037. The listed phone number is (262) 677-3811.

What is Village Of Jackson's specialty?

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

Does Village Of Jackson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0987553) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Of Jackson was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.