Organization Active NPI

Kenosha County Scout Leaders Rescue Squad, Inc

Doing business as Scout Leaders Rescue Squad, Inc

  • Ambulance
  • Kenosha, WI
National Provider Identifier
1194814335
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
6000282 Issued in WI
Legal business name
KENOSHA COUNTY SCOUT LEADERS RESCUE SQUAD, INC
Doing business as
Scout Leaders Rescue Squad, Inc
Practice address
3019 45TH St
Kenosha, WI 53144-1647
Phone
(262) 652-2041
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael L Kurhajec, EMT
Title
Assistant Chief - Board President
Phone
(262) 652-2041

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X
Ambulance 341600000X 6000282 WI Primary

Addresses

Primary practice location

3019 45TH St
Kenosha, WI 53144-1647

Mailing address

3019 45TH St
Kenosha, WI 53144-1647
Phone (262) 652-2041

Other identifiers 1

IdentifierTypeStateIssuer
41359700MedicaidWI

Other names 1

  • Scout Leaders Rescue Squad, Inc Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0996371Kenosha County Scout Leaders Rescue Squad, Inc3019 45TH St, Kenosha, WI 53144Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

Locations

3019 45th St
Kenosha, WI 53144
Phone (262) 652-2041

3003 45TH St
Kenosha, WI 53144

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1194814335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 45TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441647",
            "telephone_number": "262-652-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 45TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441647",
            "telephone_number": "262-652-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENOSHA COUNTY SCOUT LEADERS RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "KURHAJEC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT CHIEF - BOARD PRESIDENT",
        "authorized_official_telephone_number": "262-652-2041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WI",
            "license": "6000282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41359700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scout Leaders Rescue Squad, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.