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KEWASKUM FIRE DEPARTMENT
NPI 1396041448
Ambulance - Land Transport in Kewaskum, WI

Active since February 08, 2011CLIA 52D0988660 · Waiver
1106 FOND DU LAC AVE, KEWASKUM, WI 53040(262) 626-2411(262) 626-3635 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kewaskum Fire Department NPPES

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

KEWASKUM FIRE DEPARTMENT (NPI 1396041448) is a healthcare organization registered as a land transport in Kewaskum, Wisconsin and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through July 2, 2027 and lists Michelle L Scherff Sulik, Vice President, as its authorized official.

NPPES Registry Identity

NPI1396041448
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameVILLAGE OF KEWASKUM
Location Address1106 FOND DU LAC AVEKewaskum, WI 53040-9492
Mailing AddressPo Box 72140Cedarburg, WI 53012-7340 · (262) 375-9610 · Fax (262) 375-9608
Phone(262) 626-2411
Fax(262) 626-3635
Organization SubpartNo
Authorized OfficialMichelle L Scherff SulikVice President · (262) 375-9610
Enumeration DateFebruary 8, 2011
✔ NPI 1396041448 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 · 6000375
1106 FOND DU LAC AVE, Kewaskum, WI 53040
Open in Google Maps ↗

Other Names 1

Doing Business AsKewaskum Fire Department

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 52D0988660

Kewaskum Fire Department · Kewaskum, WI
Active · expires Jul 2, 2027
CLIA Number52D0988660
Laboratory TypeAmbulance
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorMr. Mark R. Groeschel
Laboratory Phone(262) 626-2411
Laboratory LocationKewaskum Fire Department1106 Fond Du Lac Ave PO Box 422, Kewaskum, WI 53040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
1,794 services74 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.
81 services58 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.
24 services23 patients

Other Providers at the Same Location NPPES

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

KEWASKUM FIRE DEPARTMENT
Ambulance (Land Transport)
1106 FOND DU LAC AVE
KEWASKUM, WI 53040
Washington County (262) 626-2842

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 Kewaskum's NPI number?

The NPI number for Village Of Kewaskum is 1396041448. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Kewaskum Fire Department.

Where is Village Of Kewaskum located?

Village Of Kewaskum is located at 1106 Fond Du Lac Ave, Kewaskum, WI 53040. The listed phone number is (262) 626-2411.

What is Village Of Kewaskum's specialty?

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

Does Village Of Kewaskum hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0988660) is associated with this NPI, valid through July 2, 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 Kewaskum was last updated on February 8, 2011. 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.