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SOUTHERN OZAUKEE FIRE AND EMERGENCY MEDICAL SERVICES DEPARTMENT
NPI 1417668468
Ambulance - Land Transport in Mequon, WI

Active since December 12, 2022CLIA 52D0925990 · Waiver
11300 N BUNTROCK AVE, MEQUON, WI 53092(262) 242-2530 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 12, 2026, Jan 24, 2023, Jan 2, 2023 and 1 more (4 updates tracked since 2022).

About Southern Ozaukee Fire And Emergency Medical Services Department NPPES

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

SOUTHERN OZAUKEE FIRE AND EMERGENCY MEDICAL SERVICES DEPARTMENT (NPI 1417668468) is a healthcare organization registered as a land transport in Mequon, Wisconsin and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Matthew Schneider, Battalion Chief, as its authorized official.

NPPES Registry Identity

NPI1417668468
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameSOUTHERN OZAUKEE FIRE AND EMERGENCY MEDICAL SERVICES DEPARTMENT
Location Address11300 N BUNTROCK AVEMequon, WI 53092-1843
Mailing Address11300 N Buntrock AveMequon, WI 53092-1843 · (262) 242-2530 · Fax (336) 510-5894
Phone(262) 242-2530
Organization SubpartNo
Authorized OfficialMatthew SchneiderBattalion Chief · (262) 242-8784
Enumeration DateDecember 12, 2022
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1417668468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
11300 N BUNTROCK AVE, Mequon, WI 53092
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Other Names 1

Other NameSouthern Ozaukee Fire Department

Other Identifiers 1

Other6605038WI · State Of Wi Ems Service License

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 52D0925990

Southern Ozaukee Fire And Emergency Medical Servic · Mequon, WI
Active · expires Mar 11, 2027
CLIA Number52D0925990
Laboratory TypeAmbulance
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorMr. David L. Bialk
Laboratory Phone(262) 242-0205
Laboratory LocationSouthern Ozaukee Fire And Emergency Medical Servic11300 N Buntrock Ave, Mequon, WI 53092
CLIA data matches this NPI record on: Address Name
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.
3,520 services360 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.
336 services202 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.
280 services220 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.

CITY OF MEQUON
Ambulance (Land Transport)
11300 N BUNTROCK AVE
MEQUON, WI 53092
Ozaukee County (262) 242-0205

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 Southern Ozaukee Fire And Emergency Medical Services Department's NPI number?

The NPI number for Southern Ozaukee Fire And Emergency Medical Services Department is 1417668468. It was assigned to this organization in the NPPES registry on December 12, 2022. The provider is also known as Southern Ozaukee Fire Department.

Where is Southern Ozaukee Fire And Emergency Medical Services Department located?

Southern Ozaukee Fire And Emergency Medical Services Department is located at 11300 N Buntrock Ave, Mequon, WI 53092. The listed phone number is (262) 242-2530.

What is Southern Ozaukee Fire And Emergency Medical Services Department's specialty?

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

Does Southern Ozaukee Fire And Emergency Medical Services Department hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0925990) is associated with this NPI, valid through March 11, 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 Southern Ozaukee Fire And Emergency Medical Services Department was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.