VILLAGE OF MUKWONAGO
NPI 1629051412
Ambulance in Mukwonago, WI

Q: What is Village Of Mukwonago's NPI number?

The NPI number for Village Of Mukwonago is 1629051412. It was assigned to this organization in the NPPES registry on November 25, 2005.

Q: What is Village Of Mukwonago's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Active since November 25, 2005CLIA 52D0881533 · Waiver

440 RIVERCREST CT, MUKWONAGO, WI 53149(262) 363-6426(262) 363-6454 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Village Of Mukwonago NPPES

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

VILLAGE OF MUKWONAGO (NPI 1629051412) is a healthcare organization registered as an ambulance in Mukwonago, Wisconsin and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Jeffrey A Rolfe, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1629051412

Entity TypeOrganization

Primary Taxonomy341600000X

Legal Business NameVILLAGE OF MUKWONAGO

Location Address440 RIVERCREST CTMukwonago, WI 53149-1759

Mailing Address6400 Industrial LoopGreendale, WI 53129-2452 · (414) 423-4100 · Fax (414) 423-4134

Phone(262) 363-6426

Fax(262) 363-6454

Organization SubpartNo

Authorized OfficialJeffrey A RolfeFire Chief · (262) 363-6426

Enumeration DateNovember 25, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1629051412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services

Taxonomy Code341600000X

Definition

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).

440 RIVERCREST CT, Mukwonago, WI 53149

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Other Identifiers 1

Medicaid41339900WI

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 52D0881533

Village Of Mukwonago Fire Department · Mukwonago, WI

Active · expires Jan 11, 2028

CLIA Number52D0881533

Laboratory TypeAmbulance

Certificate Effective DateJanuary 12, 2026

Certificate Expiration DateJanuary 11, 2028

Laboratory DirectorDr. Mark Schultz

Laboratory Phone(262) 363-6426

Laboratory LocationVillage Of Mukwonago Fire Department1111 Fox St, Mukwonago, WI 53149

CLIA data matches this NPI record on: 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.

1,765 services125 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.

100 services81 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.

66 services55 patients

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 Mukwonago's NPI number?

The NPI number for Village Of Mukwonago is 1629051412. It was assigned to this organization in the NPPES registry on November 25, 2005.

Where is Village Of Mukwonago located?

Village Of Mukwonago is located at 440 Rivercrest Ct, Mukwonago, WI 53149. The listed phone number is (262) 363-6426.

What is Village Of Mukwonago's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Village Of Mukwonago hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0881533) is associated with this NPI, valid through January 11, 2028. 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 Mukwonago was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.