Kewaskum Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

KEWASKUM FIRE DEPARTMENT

Practice address

1106 Fond Du Lac Ave
Kewaskum, WI 53040

Phone

(262) 626-2842

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Sulik

Title

Billing Manager

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1861506255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 FOND DU LAC AVE",
            "city": "KEWASKUM",
            "state": "WI",
            "postal_code": "53040",
            "telephone_number": "262-626-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWASKUM FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "262-375-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41329200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J Dennis Connor DDS SC
• Garrett Richard Jones
• Mitchell Kannal
• Meghan M Kelley, APNP
• Kewaskum Family Dentistry
• Kewaskum School District
• Mikayla Merlene Kremer, ND
• Melanee Krumhus, APNP
• Melissa Madriaga
• Amber Lynn McCarty, RN BSN

• Land Ambulance in Kewaskum, WI
• Providers in Kewaskum, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.