KEWASKUM FIRE DEPARTMENT
NPI 1396041448
Ambulance - Land Transport in Kewaskum, WI
NPI Status: Active since February 08, 2011
Contact Information
1106 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040
Phone: (262) 626-2411
Fax: (262) 626-3635
- Organization
- Ambulance
- Land Transport
- CLIA Number: 52D0988660
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 07-02-2027
About KEWASKUM FIRE DEPARTMENT
This page provides the complete NPI Profile along with additional information for Kewaskum Fire Department, a provider established in Kewaskum, Wisconsin operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1396041448 assigned on February 2011. The practitioner's primary taxonomy code is 3416L0300X with license number 6000375 (WI). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Kewaskum Fire Department. The authorized official of this NPI record is Michelle L Scherff Sulik (Vice President)
- NPI
- 1396041448
- Provider Legal Name
- VILLAGE OF KEWASKUM
- Other Organization Name
- KEWASKUM FIRE DEPARTMENT
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1106 FOND DU LAC AVE KEWASKUM, WI 53040
- Location Phone
- (262) 626-2411
- Location Fax
- (262) 626-3635
- Mailing Address
- PO BOX 72140 CEDARBURG, WI 53012
- Mailing Phone
- (262) 375-9610
- Mailing Fax
- (262) 626-3635
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-08-2011
- Last Update Date
- 02-08-2011
- Code Navigator
Location Map
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 Land Transport
- Taxonomy Code
- 3416L0300X
- Type
- Transportation Services
- License No.
- 6000375
- License State
- WI
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
Ambulance service, basic life support, emergency transport (bls-emergency)
Ground mileage, per statute mile
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.
This service was performed 23 times for 20 patientsAmbulance 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.
This service was performed 67 times for 47 patientsGround 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.
This service was performed 1,498 times for 62 patientsCLIA 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
- 52D0988660
- Facility Type
- Ambulance
- Certificate Effective Date
- July 03, 2025
- Certificate Expiration Date
- July 02, 2027
- Laboratory Director
- MR. MARK R. GROESCHEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kewaskum Fire Department to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for KEWASKUM FIRE DEPARTMENT
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1396041448, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396041448, enumerated as an "organization" on February 08, 2011.
The provider is located at 1106 FOND DU LAC AVE KEWASKUM, WI 53040 and the phone number is (262) 626-2411.
Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.
