VILLAGE OF KEWASKUM NPI 1396041448

NPI Information

NPI: 1396041448
Provider Name: VILLAGE OF KEWASKUM

Doing Business As: KEWASKUM FIRE DEPARTMENT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
1106 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040
Phone: (262) 626-2411
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VILLAGE OF KEWASKUM is a land transport ambulance in Kewaskum, WI. VILLAGE OF KEWASKUM NPI is 1396041448. The provider is registered as an organization entity type.
The provider Is Doing Business As Kewaskum Fire Department.

The provider's business location address is:

1106 FOND DU LAC AVE
KEWASKUM, WI
ZIP 53040-492
Phone: (262) 626-2411
Fax: (262) 626-3635

The provider's authorized official is Michelle L Scherff Sulik .
The authorized official title is Vice President and has the following contact phone number (262) 375-9610.

The CLIA number assigned to this NPI record is 52D0988660 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2011 and was last updated on 2/8/2011.

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	6000375	WISCONSIN	Yes

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: 5/5/2024

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