Village of Caledonia
Organization Active NPI Land Ambulance · Caledonia, WI
NPI 1760596209 · NPPES record last updated Apr 2, 2026
Key facts
- NPI
- 1760596209
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VILLAGE OF CALEDONIA
- Practice address
- 5045 Chester LN
Caledonia, WI 53402-2414 - Phone
- (262) 835-6422
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Walter Leininger IV
- Title
- Fire Chief
- Phone
- (262) 835-2050
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101210000949 | WI | Part B Supplier - Ambulance Service Supplier | 3072610690 | Practice locations: Caledonia, WI; Racine, WI |
National Provider Directory
- Tax ID family
- Central Racine County Health Department
Locations
6922 Nicholson Rd
Caledonia, WI 53108
5045 Chester Ln
Caledonia, WI 53402
Phone (262) 835-2050
6040 Douglas Ave
Caledonia, WI 53402
Phone (262) 639-9090
6900 Nicholson Rd
Caledonia, WI 53108
Phone (262) 835-2050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
5045 Chester LN
Caledonia, WI 53402-2414
Mailing address
PO Box 6253
Carol Stream, IL 60197-6253
Phone (248) 285-8755
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41331900 | Medicaid | WI |
Other names
- CALEDONIA FIRE DEPARMENT
Other providers in Caledonia, WI
- Vito A Rivecco
- Nancy Ann Schmidt
- Max Schulz
- Third Coast Speech & Language Therapy
- Trans Crescent
- Jeffrey Charles Wilkins
- Kaitlyn R Witt
All providers in Caledonia, WI · Land Ambulance in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.