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KETTLE MORAINE FIRE DISTRICT
NPI 1881354124
Ambulance in Eagle, WI

Active since December 28, 2021CLIA 52D0979905 · Waiver
126 E MAIN ST, EAGLE, WI 53119(262) 594-3302 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kettle Moraine Fire District NPPES

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

KETTLE MORAINE FIRE DISTRICT (NPI 1881354124) is a healthcare organization registered as an ambulance in Eagle, Wisconsin and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Scott Allen Kugel, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1881354124
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameKETTLE MORAINE FIRE DISTRICT
Location Address126 E MAIN STEagle, WI 53119-2000
Mailing Address126 E Main StEagle, WI 53119-2000 · (262) 594-3302
Phone(262) 594-3302
Organization SubpartNo
Authorized OfficialScott Allen KugelFire Chief · (262) 594-3302
Enumeration DateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1881354124 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).

126 E MAIN ST, Eagle, WI 53119
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Other Identifiers 1

Other6605026WI · State Ems Service License Number

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 52D0979905

Kettle Moraine Fire District Station 33 · Eagle, WI
Active · expires Nov 2, 2026
CLIA Number52D0979905
Laboratory TypeAmbulance
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorMr. Steve Wilton
Laboratory Phone(262) 594-3302
Laboratory LocationKettle Moraine Fire District Station 33126 Main St PO Box 186, Eagle, WI 53119
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.
541 services35 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.
22 services20 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.
20 services18 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 Kettle Moraine Fire District's NPI number?

The NPI number for Kettle Moraine Fire District is 1881354124. It was assigned to this organization in the NPPES registry on December 28, 2021.

Where is Kettle Moraine Fire District located?

Kettle Moraine Fire District is located at 126 E Main St, Eagle, WI 53119. The listed phone number is (262) 594-3302.

What is Kettle Moraine Fire District's specialty?

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

Does Kettle Moraine Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D0979905) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kettle Moraine Fire District was last updated on December 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.