FONTANA FIRE/RESCUE
NPI 1760425375
Ambulance - Land Transport in Fontana, WI

Q: What is Village Of Fontana On Geneva Lake's NPI number?

The NPI number for Village Of Fontana On Geneva Lake is 1760425375. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Fontana Fire/Rescue.

Q: What is Village Of Fontana On Geneva Lake's specialty?

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

Active since June 13, 2006

190 FONTANA BOULEVARD, FONTANA, WI 53125(262) 275-2131(262) 275-2257 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Jul 21, 2022, Jul 13, 2017 (3 updates tracked since 2017).

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About Fontana Fire/rescue NPPES

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

FONTANA FIRE/RESCUE (NPI 1760425375) is a healthcare organization registered as a land transport in Fontana, Wisconsin and active in the NPI registry since June 2006. The organization lists Dennis Lee Martin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1760425375

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameVILLAGE OF FONTANA ON GENEVA LAKE

Location Address190 FONTANA BOULEVARDFontana, WI 53125-1000

Mailing AddressPost Office Box 200, 175 Valley View DriveFontana, WI 53125-1192 · (262) 275-6136 · Fax (262) 275-8088

Phone(262) 275-2131

Fax(262) 275-2257

Organization SubpartYesParent: Village Of Fontana-on-geneva Lake

Authorized OfficialDennis Lee MartinAdministrator · (262) 275-6136

Enumeration DateJune 13, 2006

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1760425375 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 · 6000137

190 FONTANA BOULEVARD, Fontana, WI 53125

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Other Names 1

Doing Business AsFontana Fire/rescue

Other Identifiers 3

Other41355400WI · Wisconsin Renal Program

Medicaid41355400WI

Other41355400WI · H.i.r.s.p.

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 52D1029169

Fontana Fire & Rescue · Fontana, WI

Expired · Aug 10, 2026

CLIA Number52D1029169

Laboratory TypeAmbulance

Certificate Effective DateAugust 11, 2024

Certificate Expiration DateAugust 10, 2026

Laboratory DirectorMr. Wolfgang Nitsch

Laboratory Phone(262) 275-2131

Laboratory LocationFontana Fire & Rescue190 Fontana Blvd, Fontana, WI 53125

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.

1,347 services112 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.

100 services60 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.

78 services64 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 Fontana On Geneva Lake's NPI number?

The NPI number for Village Of Fontana On Geneva Lake is 1760425375. It was assigned to this organization in the NPPES registry on June 13, 2006. The provider is doing business as Fontana Fire/Rescue.

Where is Village Of Fontana On Geneva Lake located?

Village Of Fontana On Geneva Lake is located at 190 Fontana Boulevard, Fontana, WI 53125. The listed phone number is (262) 275-2131.

What is Village Of Fontana On Geneva Lake's specialty?

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

When was this NPI record last updated?

The NPPES record for Village Of Fontana On Geneva Lake was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.