KEWASKUM FIRE DEPARTMENT (NPI# 1861506255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861506255 |
| Entity Type | Organization |
| Organization Name | KEWASKUM FIRE DEPARTMENT |
| Practice Address |
1106 Fond Du Lac Ave Kewaskum WI 53040 |
| Mailing Address |
Po Box 72140 Cedarburg WI 53012-7340 |
| Practice Telephone | 2626262842 |
| Mailing Telephone | 2623759610 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | MR. DAVID SULIK (BILLING MANAGER) |
| Authorized Official Telephone | 2623759610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41329200 | 05 |
| Street Address |
1106 FOND DU LAC AVE |
| City | KEWASKUM |
| State | WI |
| Zip Code | 53040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396041448 | Village of Kewaskum | Ambulance | 1106 Fond Du Lac Ave, Kewaskum, WI 53040-9492 | 2011-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902076698 | Craig Alan Bruesewitz | Counselor | 1421 Fond Du Lac Avenue, Kewashum, WI 53040 | 2008-03-10 |
| 1508040700 | Sara Marie Bonlender | Licensed Practical Nurse | 1841 Edgewood Road, Kewaskum, WI 53040 | 2007-12-24 |
| 1619219532 | Cheryl Elizabeth Colwin | Counselor | 1421 Fond Du Lac Avenue, Kewaskum, WI 53040 | 2013-03-18 |
| 1790188498 | Nicolai Gerhartz | Physician Assistant | W832 County Rd S, Kewaskum, WI 53040-1116 | 2014-10-08 |
| 1871785931 | Kewaskum School District | Speech-Language Pathologist | 1676 Reigle Dr Ste 100, Kewaskum, WI 53040-8923 | 2007-08-13 |
| 1891801957 | J Dennis Connor | Dentist | 1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954 | 2006-08-22 |
| 1003941444 | J Dennis Connor Dds Sc | Dentist | 1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954 | 2007-02-23 |
| 1093241002 | Nicholas Brandon Bier | Student in an Organized Health Care Education/Training Program | 311 Clinton St, Kewaskum, WI 53040-9116 | 2017-05-11 |
| 1518976919 | West Bend Clinic | Internal Medicine | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2006-08-05 |
| 1548743586 | Jennifer Rose Nogalski | Nurse Practitioner | 1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129 | 2018-09-14 |
| Find all providers in zip 53040 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396041448 | Village of Kewaskum | Ambulance | 1106 Fond Du Lac Ave, Kewaskum, WI 53040-9492 | 2011-02-08 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.