Kettle Moraine Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

KETTLE MORAINE FIRE DISTRICT

Practice address

126 E Main St
Eagle, WI 53119-2000

Phone

(262) 594-3302

NPI assigned

Dec 28, 2021

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Allen Kugel

Title

Fire Chief

Phone

(262) 594-3302

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1881354124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531192000",
            "telephone_number": "262-594-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "EAGLE",
            "state": "WI",
            "postal_code": "531192000",
            "telephone_number": "262-594-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETTLE MORAINE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "KUGEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "262-594-3302"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EMS SERVICE LICENSE NUMBER",
            "identifier": "6605026",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chief@kettlemorainefd.com",
            "affiliation": "N",
            "endpointDescription": "Chief Private Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Email",
            "address_1": "126 E Main St",
            "city": "Eagle",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531192000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristine Louise Clark-Setnes, MS, LMFT, ATR
• Eagle Fire District
• Family First Care Clinic, LLC
• Keith L Mausner MD SC
• Karen Jean Kennedy, LPN
• Angela T McAdams, RN #90241 WISCONSIN
• Marisa M Phillips, RN
• Rae Patrice Toman, RN
• Morgan Nicole Waschow, PA
• Joan M Weiland, R.N.

• Ambulance in Eagle, WI
• Providers in Eagle, WI by specialty
• Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.