RANDOM LAKE FIRE DEPARTMENT
RANDOM LAKE FIRE DEPARTMENT is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1174514103, based in Random Lake, WI. It is classified under Land Ambulance.
Getting there
The practice address on file is 718 N SPRING ST, Random Lake, WI 53075. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 60-01170 | WI | Land Ambulance primary |
This provider holds licence 60-01170 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Ambulance Service Supplier
- PAC ID
- 3678559747
- Enrollment ID
- O20040629000056
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Ambulance Service Supplier. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Land Transport covers
Definition to come... NUCC Health Care Provider Taxonomy, code 3416L0300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1174514103 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 31, 2005 |
| Last updated | Aug 22, 2020 |
| Status | Active |
| Practice address |
718 N SPRING ST Random Lake, WI 53075 (920) 994-9817 Fax (920) 994-2678 |
| Other identifiers |
41310700
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 7 | 4 | 5 | 1 | 4 | 1 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 5 | 4 | 1 | 1 | 8 | 1 | 0 |
Sum = 47 · next multiple of 10 = 50 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.