KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC NPI 1194877845

NPI Information

NPI: 1194877845
Provider Name: KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC

Doing Business As: KETTLE MORAINE AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
380 BLUEMOUND RD
WAUKESHA, WI
ZIP 53188
Phone: (262) 542-9699
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KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC is a land transport ambulance in Waukesha, WI. KETTLE MORAINE EMERGENCY MEDICAL SERVICES INC NPI is 1194877845. The provider is registered as an organization entity type.
The provider Is Doing Business As Kettle Moraine Ambulance.

The provider's business location address is:

380 BLUEMOUND RD
WAUKESHA, WI
ZIP 53188-751
Phone: (262) 542-9699
Fax: (262) 549-9177

The provider's authorized official is Janet M Whettam .
The authorized official title is Office Manager and has the following contact phone number (262) 542-9699.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 9/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	6001341	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000081391	MEDICARE PIN	WISCONSIN
2	41346700	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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